Implantable meshes for controlling the movement of fluids

ABSTRACT

Meshes for use to control the movement of bodily fluids, such as blood, are described herein. The mesh can be partially or completely biodegradable or non-biodegradable. In one embodiment, the mesh is formed from one or more self-assembling peptides. The peptides can be in the form of fibers, such as nanofibers. The peptides can be assembled prior to formation of the mesh or after the mesh has been formed but before it is applied. Alternatively, the mesh can be prepared from unassembled peptides, which assemble at the time of application. The peptides can assemble upon contact with bodily fluids (e.g., blood) or can be contacted with an ionic solution to initiate assembly.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to U.S. Ser. No. 61/868,674, filed onAug. 22, 2013, which is incorporated herein in its entirety.

REFERENCE TO SEQUENCE LISTING

The Sequence Listing submitted Aug. 22, 2014 as a text file named“CNS_106_ST25.txt,” created on Aug. 19, 2014, and having a size of100,000 bytes is hereby incorporated by reference pursuant to 37 C.F.R.§1.52(e)(5).

FIELD OF THE INVENTION

This invention is in the field of surgical meshes, particularly mesheswhich control (e.g., prevent) the movement of bodily fluids, composed ofself-assembling peptides.

BACKGROUND OF THE INVENTION

The undesirable movement of bodily fluids such as blood as a result ofinjury, disease or during surgery is often a major concern. Substantialloss of blood can cause multiple problems for the patient and thepresence of blood or other bodily fluids in undesirable locations can bedetrimental to normal tissue or interfere with the surgeon's ability toview the operative field. Often surgery is delayed while blood isremoved and the bleeding is brought under control. Bleeding can beproblematic even during minimally invasive surgery (e.g., laparoscopicsurgery). In some instances, surgeons must convert these preferredprocedures into traditional open surgeries if bleeding cannot beadequately controlled.

Options for minimizing or controlling the movement of bodily fluids inany of these settings are limited and typically include the applicationof pressure, either directly to a vessel or to the body external to thevessel. Pressure must be maintained until the bleeding is under control.Other physical methods include the use of clamps, clips, plugs, sponges,or sutures. These devices have limited efficacy, and they can becumbersome to apply, particularly if there are many small bleedingvessels. Use of heat to coagulate blood and cauterize bleeding vesselsis widely used during surgery, but it is a destructive process that canresult in damage to tissue.

Surgical meshes made from nanostructures have been developed as a meansto provide mechanical support during surgical procedures. Meshes formedof woven and non-woven scaffolds including a variety of natural andnon-natural polymers are described in U.S. Pat. Nos. 8,568,637;7,700,721; 8,039,258; 7,704,740; 5,762,846; 8,512,728; as well as Dhan,et al., Nanomedicine: Nanotechnology, Biology, and Medicine, 8, pp.1242-1262 (2012); Nguyen and Lee, Sci. Technol. Adv. Mater., 13, 035002(11 pp) (2012); Ahmad, et al., Carbohydrate Polymers, V89 (1), pp.222-229 (2012); and Brun, et al., Acta Biomaterialia, 7, pp. 2526-2532(2011).

However, there remains a need for surgical meshes that can be used formechanical support and at same time provide a barrier to the movement ofbodily fluids.

It is therefore an object of the present invention to providecompositions for preventing the movement of bodily fluids.

It is another object of the present invention to provide methods andcompositions for providing tissue-type specific hemostatic meshes.

It is still a further object of the present invention to provide methodsand compositions for tissue integration and attachment.

SUMMARY OF THE INVENTION

It has been established that surgical meshes including one or moreself-assembling peptides can prevent the movement of bodily fluids andprovide mechanical support for surgical procedures.

Meshes for use to control the movement of bodily fluids, such as blood,are described herein. In one embodiment, the mesh is formed from one ormore self-assembling peptides. The peptides can be in the form offibers, such as nanofibers. The peptides can be assembled prior toformation of the mesh or after the mesh has been formed but before it isapplied. Alternatively, the mesh can be prepared from unassembledpeptides, which assemble at the time of application. The peptides canassemble upon contact with bodily fluids (e.g., blood) or can becontacted with an ionic solution to initiate assembly.

In some embodiments the self-assembling peptides have a sequence ofamino acid residues conforming to one or more of the following formulas:((Xaa^(neu)-Xaa⁺)_(x)(Xaa^(neu)-Xaa⁻)_(y))_(n);((Xaa^(neu)-Xaa⁻)_(x)(Xaa^(neu)-Xaa⁺)_(y))_(n);((Xaa⁺-Xaa^(neu))_(x)(Xaa⁻-Xaa^(neu))_(y))_(n); and((Xaa⁻-Xaa^(neu))_(x)(Xaa⁺-Xaa^(neu))_(y))_(n),

where Xaa^(neu) represents an amino acid residue having a neutralcharge, Xaa⁺ represents an amino acid residue having a positive charge,Xaa⁻ represents an amino acid residue having a negative charge, x and yare integers having a value of 1, 2, 3, or 4, independently, and n is aninteger having a value of 1-5.

In certain embodiments all of the self-assembling peptides in the meshare of the same size and have the same amino acid sequence. In otherembodiments, meshes can include two or more different self-assemblingpeptides, having different sizes and sequences. The meshes can alsoinclude other polymers and can be partly biodegradable, fullybiodegradable, or non-biodegradable. Meshes can include a scaffold orsupport material. In one embodiment the support material is an adhesivebandage.

Meshes including one or more self-assembling peptides and one or moreadditional active or biological agents, such as live cells, therapeuticagents, prophylactic agents, and/or diagnostic agents are also provided.The additional active agents can be antimicrobial agents, hemostaticagents, desiccants, pH-adjusting agents, growth factors, cytokines, orcombinations thereof.

Methods of making meshes that contain self-assembling peptides are alsoprovided. The methods can include injection molding, stamping,templating onto a surface having a desired shape, electrospinning,freezing of a powder, freezing of a solution, coating of a solidsubstrate, or a combination thereof. The self-assembling peptides can beassembled by contacting the mesh with a solution of cations.Self-assembly of the peptides can occur at the time of manufacture ofthe mesh, or immediately prior to, during or after application of themesh.

Methods for preventing the movement of bodily fluids in a subjectincluding applying or implanting in a patient one or more surgicalmeshes including self-assembling peptides are also provided. In certainembodiments the methods prevent the movement of blood. The patient cansuffer from a primary, secondary, or acquiredbleeding/coagulation/clotting disorder.

Systems for the delivery and/or application of meshes including one ormore self-assembling peptides are also provided. In some embodiments thedelivery system includes the use of a cone.

DETAILED DESCRIPTION OF THE INVENTION

I. Definitions

“Biocompatible”, as used herein, refers to compatibility with livingtissue or a living system by not being toxic, injurious, orphysiologically reactive and not causing immunological rejection.

“Complementary” means having the capability of forming ionic or hydrogenbonding interactions between hydrophilic residues from adjacent peptidesin a structure. Each hydrophilic residue in a peptide either hydrogenbonds or ionically pairs with a hydrophilic residue on an adjacentpeptide, or is exposed to solvent. Pairing may also involve van derWaals forces.

“Effective amount”, in reference to an active agent such as aself-assembling peptide or biomolecule, pharmaceutical agent, etc.refers to the amount necessary to elicit a desired biological response.As will be appreciated by those of ordinary skill in this art, theeffective amount of an agent may vary depending on such factors as thedesired biological endpoint, the agent to be delivered, the nature ofthe site to which the agent is delivered, the nature of the conditionsfor which the agent is administered, etc. For example, the effectiveamount of a composition for treatment of a disease or disorder may be anamount sufficient to promote recovery to a greater extent than wouldoccur in the absence of the composition.

“Hemostasis” refers to the cessation of bleeding.

“Preventing” refers to causing a condition, state, or disease, orsymptom or manifestation of such, or worsening of the severity of such,not to occur. Preventing includes reducing the risk that a condition,state, or disease, or symptom or manifestation of such, or worsening ofthe severity of such, will occur.

The terms “treat”, “treatment” and “treating” refer to the reduction oramelioration of the progression, severity and/or duration of an injury,disease or disorder, delay of the onset of a disease or disorder, or theamelioration of one or more consequences, indications or symptoms(preferably, one or more discernible symptoms) of an injury, disease ordisorder, resulting from the administration of one or more therapies(e.g., one or more therapeutic agents such as a compound of theinvention). The terms “treat”, “treatment” and “treating” also encompassthe reduction of the risk of developing a disease or disorder, and thedelay or inhibition of the recurrence of a disease or disorder.

“Repair”, as used in reference to the repair of tissue in variousembodiments of the invention, may include any aspect of anatomical orfunctional restoration of the condition of the tissue prior to aninjury, deterioration, or other damage. For example, it may includerestoration of physical continuity between portions of tissue that wereseparated by injury, deterioration, or other damage. Preferably suchrestoration of physical continuity includes reposition or reconnectionof the portions of tissue without appreciable separation by tissue of atype that was not present prior to the injury, such as scar tissue.Repair may, but need not, include growth or development of new tissue.“Repair” and “Healing” are used interchangeably herein.

“Self-assembling”, as used herein, refers to the assembly of moleculesinto defined, stable, noncovalently bonded assemblies that are heldtogether by intermolecular and/or intramolecular forces. The assemblymay be spontaneous or induced.

II. Meshes

Meshes for use to control the movement of bodily fluids, such as blood,are described herein. The mesh can be partially or completelybiodegradable or non-biodegradable. In one embodiment, the mesh isformed from one or more self-assembling peptides. The peptides can be inthe form of fibers, such as nanofibers. The peptides can be assembledprior to formation of the mesh or after the mesh has been formed butbefore it is applied. Alternatively, the mesh can be prepared fromunassembled peptides, which assemble at the time of application. Thepeptides can assemble upon contact with bodily fluids (e.g., blood) orcan be contacted with an ionic solution to initiate assembly.

In another embodiment, the mesh is formed from a mixture ofself-assembling peptides and another material. The other material can bean organic or inorganic material. Exemplary organic materials includepolypeptides and proteins. In some embodiments, fibrous peptides such ascollagen and amyloids.

In other embodiments, the peptides, in the form of a dry powder or gel,are incorporated into an adhesive or non-adhesive backing, wherein thebacking is formed of a material other than the self-assembling peptide.

A. Self-assembling Peptides

In one embodiment, the self-assembling material is a self-assemblingpeptide. The term “peptide,” as used herein includes “polypeptide,”“oligopeptide,” and “protein,” and refers to a chain of at least twoα-amino acid residues linked together by covalent bonds (e.g., peptidebonds). “Peptide” may refer to an individual peptide or to a collectionof peptides having the same or different sequences, any of which maycontain naturally occurring α-amino acid residues, non-naturallyoccurring α-amino acid residues, and combinations thereof α-Amino acidanalogs are also known in the art and may alternatively be employed. Inparticular, D-α-amino acid residues may be used.

Peptides can be represented as amino acid residue sequences. Thosesequences are written left to right in the direction from the amino(“n-”) to the carboxyl (“-c”) terminus. In accordance with standardnomenclature, amino acid residue sequences are denominated by either athree letter or a single letter code as indicated as follows: Alanine(Ala, A), Arginine (Arg, R), Asparagine (Asn, N), Aspartic Acid (Asp,D), Cysteine (Cys, C), Glutamine (Gln, Q), Glutamic Acid (Glu, E),Glycine (Gly, G), Histidine (His, H), Isoleucine (Ile, I), Leucine (Leu,L), Lysine (Lys, K), Methionine (Met, M), Phenylalanine (Phe, F),Proline (Pro, P), Serine (Ser, S), Threonine (Thr, T), Tryptophan (Trp,W), Tyrosine (Tyr, Y), and Valine (Val, V). A “Variant” of a peptiderefers to a polypeptide or differs from a reference polypeptide, butretains essential properties. A typical variant of a polypeptide differsin amino acid sequence from another, reference polypeptide. A variantand reference polypeptide may differ in amino acid sequence by one ormore modifications (e.g., substitutions, additions, and/or deletions).

Modifications and changes (e.g., a conservative amino acid substitution)can be made in the structure of the polypeptides of the disclosurewithout substantially affecting the self-assembly characteristics of thepolypeptide. For example, certain amino acids can be substituted forother amino acids in a sequence without appreciable variation inactivity. In making such changes, the hydropathic index of amino acidscan be considered. The importance of the hydropathic amino acid index inconferring interactive function on a polypeptide is generally understoodin the art. It is known that certain amino acids can be substituted forother amino acids having a similar hydropathic index or score and stillresult in a polypeptide with similar functional activity. It is known inthe art that an amino acid can be substituted by another amino acidhaving a similar hydropathic index and still obtain a functionallyequivalent polypeptide.

Substitution of like amino acids can also be made on the basis ofcharge. In certain embodiments, the substitution of amino acids havingan equivalent charge under physiological conditions can be made in thestructure of the polypeptides of the disclosure without substantiallyaffecting the self-assembly characteristics of the polypeptide. Thefollowing charge states: negatively charged (“−ve”), positively charged(“+ve”), and non-charged or neutral (“neu”) under physiologicalconditions can be assigned to amino acid residues: aspartate (−ve);glutamate (−ve); arginine (+ve); lysine (+ve); histidine (neu or +ve);serine (neu); asparagine (neu); glutamine (neu); glycine (neu); proline(neu); threonine (neu); alanine (neu); cysteine (neu); methionine (neu);valine (neu); leucine (neu); isoleucine (neu); tyrosine (neu);phenylalanine (neu); tryptophan (neu).

Useful peptides can vary in length so long as they retain the ability toself-assemble to an extent useful for one or more of the purposesdescribed herein. The number of amino acid residues in the peptide mayrange from as few as two α-amino acid residues to more than 200residues. Typically, peptides which self-assemble have from about 6 toabout 200 residues, preferably from about 6 to about 64 residues, morepreferably from about 8 to about 36 residues, most preferably from about8 to about 24 residues. The peptides can be at least six amino acids inlength (e.g., eight or 10 amino acids), at least 12 amino acids inlength (e.g., 12 or 14 amino acids), or at least 16 amino acids inlength (e.g., 16, 18, 20, 22, or 24 amino acids). Peptides that are lessthan 100 amino acid residues long, more preferably less thanapproximately 50 amino acids in length, may assemble more readily. Inone embodiment, the peptide has from about 8 to about 16 residues. Inanother embodiment, the peptide has from about 12 to about 20 residues.In yet another embodiment, the peptide has from about 16 to about 20residues.

In addition, one or more of the amino acid residues in a self-assemblingpeptide can be altered or derivatized by the addition of one or morechemical entities including, but not limited to, acyl groups,carbohydrate groups, carbohydrate chains, phosphate groups, farnesylgroups, isofarnesyl groups, fatty acid groups, or a linker which allowsfor conjugation or functionalization of the peptide. For example, eitheror both ends of a given peptide can be modified. For example, thecarboxyl and/or amino groups of the carboxyl- and amino-terminalresidues, respectively can be protected or not protected. The charge ata terminus can also be modified. For example, a group or radical such asan acyl group (RCO—, where R is an organic group (e.g., an acetyl group(CH₃CO—)) can be present at the N-terminus of a peptide to neutralize an“extra” positive charge that may otherwise be present (e.g., a chargenot resulting from the side chain of the N-terminal amino acid).Similarly, a group such as an amine group (RNH—, where R is an organicgroup (e.g., an amino group —NH₂)) can be used to neutralize an “extra”negative charge that may otherwise be present at the C-terminus (e.g., acharge not resulting from the side chain of the C-terminal amino acidresidue). Where an amine is used, the C-terminus bears an amide(—CONHR). The neutralization of charges on a terminus may facilitateself-assembly. One of ordinary skill in the art will be able to selectother suitable groups.

Useful peptides can also be branched, in which case they will contain atleast two amino acid polymers, each of which consists of at least threeamino acid residues joined by peptide bonds. The two amino acid polymersmay be linked by a bond other than a peptide bond.

While the sequences of the peptides can vary, useful sequences includethose that convey an amphiphilic nature to the peptides (e.g., thepeptides can contain approximately equal numbers of hydrophobic andhydrophilic amino acid residues), and the peptides can be complementaryand structurally compatible. Complementary peptides have the ability toform ionic or hydrogen bonds between residues (e.g., hydrophilicresidues) on adjacent peptides in a structure. For example, one or morehydrophilic residues in a peptide can either hydrogen bond or ionicallypair with one or more hydrophilic residues on an adjacent peptide.Hydrophilic residues are those residues that typically contain a polarfunctional group or a functional group that is charged at physiologicalconditions. Exemplary functional groups include, but are not limited to,carboxylic acid groups, amino groups, sulfate groups, hydroxy groups,halogen groups, nitro groups, phosphate groups, etc. Hydrophobicresidues are those residues that contain non-polar functional groups.Exemplary functional groups include, but are not limited to, alkylgroups, alkene groups, alkyne groups, and phenyl groups.

In one embodiment, the hydrophilic residue has the formula—NH—CH(X)—COO—, wherein X has the formula (CH₂)_(y)Z, wherein y=0-8,preferably 1-6, more preferably 1-4 and most preferably 1-3, and Z is apolar or charged functional group including, but not limited to, acarboxylic acid group, an amino group, a sulfate group, a hydroxy group,a halogen group, a nitro group, a phosphate group, or a functional groupcontaining a quaternary amine. The alkyl chain can be in a linear,branched, or cyclic arrangement. X may also contain one or moreheteroatoms within the alkyl chain and/or X may be substituted with oneor more additional substituents. In a preferred embodiment, Z is acarboxylic acid group or an amino group. In one embodiment, thehydrophobic residue has the formula —NH—CH(X)—COO—, wherein X has theformula (CH₂)_(y)Z, wherein y=0-8, preferably 1-6, more preferably 1-4,and more preferably 1-3, and Z is a non-polar functional groupincluding, but not limited to, an alkyl group, an alkene group, analkyne group, or a phenyl group. The alkyl, alkene, or alkyne chain canbe in a linear, branched, or cyclic arrangement. X may also contain oneor more heteroatoms within the alkyl chain and/or X may be substitutedwith one or more additional substituents. In a preferred embodiment, Xis an alkyl group, such as a methyl group.

In one embodiment, the self-assembling material comprises peptideshaving a sequence of amino acid residues conforming to one or more ofFormulas I-IV:((Xaa^(neu)-Xaa⁺)_(x)(Xaa^(neu)-Xaa⁻)_(y))_(n)  (I)((Xaa^(neu)-Xaa⁻)_(x)(Xaa^(neu)-Xaa⁺)_(y))_(n)  (II)((Xaa⁺-Xaa^(neu))_(x)(Xaa⁻-Xaa^(neu))_(y))_(n)  (III)((Xaa⁻-Xaa^(neu))_(x)(Xaa⁺-Xaa^(neu))_(y))_(n)  (IV)wherein Xaa^(neu) represents an amino acid residue having a neutralcharge; Xaa⁺ represents an amino acid residue having a positive charge;Xaa⁻ represents an amino acid residue having a negative charge; x and yare integers having a value of 1, 2, 3, or 4, independently; and n is aninteger having a value of 1-5. Peptides with modulus I (i.e., peptideshaving alternate positively and negatively charged R groups on one side(e.g., the polar face of the β-sheet) are described by each of FormulasI-IV, where x and y are 1. Examples of peptides of modulus I include,but are not limited to, RADA (SEQ. ID NO. 57) and RADARADARADARADA (SEQ.ID NO. 1). Examples of peptides of modulus II (i.e., peptides having tworesidues bearing one type of charge (e.g., a positive charge) followedby two residues bearing another type of charge (e.g., a neutral charge))are described by the same formulas where both x and y are 2. Examples ofpeptides of modulus III (i.e., peptides having three residues bearingone type of charge (e.g., a positive charge) followed by three residuesbearing another type of charge (e.g., a negative charge)) include, butare not limited to, RARARADADADA (SEQ. ID NO. 112). Examples of peptidesof modulus IV (i.e., peptides having three residues bearing one type ofcharge (e.g., a positive charge) followed by three residues bearinganother type of charge (e.g., a negative charge)) include, but are notlimited to, RARARARADADADADA (SEQ. ID NO. 113).

Where self-assembling peptides are used, it is thought that their sidechains (or R groups) partition into two faces, a polar face withpositively and/or negatively charged ionic side chains (e.g., sidechains containing —OH, —NH, —CO₂H, or —SH groups), and a nonpolar facewith side chains that are considered neutral or uncharged atphysiological pH (e.g., the side chain of an alanine residue or residueshaving other hydrophobic groups). The positively charged and negativelycharged amino acid residues on the polar face of one peptide can formcomplementary ionic pairs with oppositely charged residues of anotherpeptide. These peptides may therefore be called ionic,self-complementary peptides. If the ionic residues alternate with onepositively and one negatively charged residue on the polar face(−+−+−+−+), the peptides may be described as “modulus I;” if the ionicresidues alternate with two positively and two negatively chargedresidues (−−++−−++) on the polar face, the peptides are described as“modulus II;” if the ionic residues alternate with three positively andthree negatively charged residues (+++−−−+++−−−) on the polar face, thepeptides are describe as “modulus III;” if the ionic residues alternatewith four positively and four negatively charged residues(++++−−−−++++−−−−) on the polar face, they are described as “modulusIV.” A peptide having four repeating units of the sequence EAKA (SEQ IDNO: 111) may be designated EAKA16-I (SEQ ID NO: 410), and peptideshaving other sequences may be described by the same convention.

Other hydrophilic residues that form hydrogen bonds including, but notlimited to, asparagine and glutamine, may be incorporated into thepeptides. If the alanine residues in the peptides are changed to morehydrophobic residues, such as leucine, isoleucine, phenylalanine ortyrosine, the resulting peptides have a greater tendency toself-assemble and form peptide matrices with enhanced strength. Somepeptides that have similar amino acids sequences and lengths as thepeptides described herein form alpha-helices and random-coils, ratherthan beta-sheets, and do not form macroscopic structures. Thus, inaddition to self-complementarity, other factors are likely to beimportant for the formation of macroscopic structures, such as thepeptide length, the degree of intermolecular interaction, and theability to form staggered arrays.

Unpaired residues can interact (e.g., form hydrogen bonds, etc.,) withthe solvent. Peptide-peptide interactions may also involve van der Waalsforces and/or forces that do not constitute covalent bonds. The peptidesare structurally compatible when they are capable of maintaining asufficiently constant intrapeptide distance to allow self-assembly andstructure formation. The intrapeptide distance can vary. “Intrapeptidedistance”, as used herein, refers to the average of a representativenumber of distances between adjacent amino acid residues. In oneembodiment, the intrapeptide distance is less than about 4 angstroms,preferably less than about 3, more preferably less than about 2angstroms, and most preferably less than about 1 angstrom. Theintrapeptide distance may be larger than this, however. These distancescan be calculated based on molecular modeling or based on a simplifiedprocedure described in U.S. Pat. No. 5,670,483 to Zhang, et al.

The structures described herein can be formed through self-assembly ofthe peptides described in U.S. Pat. Nos. 5,670,483; 5,955,343;6,548,630; and U.S. Pat. No. 6,800,481 to Zhang, et al.; Holmes, et al.,Proc. Natl. Acad. Sci. USA, 97:6728-6733 (2000); Zhang, et al., Proc.Natl. Acad. Sci. USA, 90:3334-3338 (1993); Zhang, et al., Biomaterials,16:1385-1393 (1995); Caplan et al., Biomaterials, 23:219-227 (2002);Leon, et al., J. Biomater. Sci. Polym. Ed., 9:297-312 (1998); andCaplan, et al., Biomacromolecules, 1:627-631 (2000).

Self-assembling peptides containing alternating hydrophobic andhydrophilic amino residues can be used. Examples of representativehydrophobic and hydrophilic peptides are listed in Table 1.

TABLE 1 Representative Self-Assembling Peptides No. Sequence (N → C)  1.n-SGSGSGSGSGSGSGSG-c (SEQ ID NO: 2)  2. n-SASASASASASASASA-c(SEQ ID NO: 3)  3. n-SVSVSVSVSVSVSVSV-c (SEQ ID NO: 4)  4.n-SLSLSLSLSLSLSLSL-c (SEQ ID NO: 5)  5. n-SISISISISISISISI-c(SEQ ID NO: 6)  6. n-SMSMSMSMSMSMSMSM-c (SEQ ID NO: 7)  7.n-SFSFSFSFSFSFSFSF-c (SEQ ID NO: 8)  8. n-SWSWSWSWSWSWSWSW-c(SEQ ID NO: 9)  9. n-SPSPSPSPSPSPSPSP-c (SEQ ID NO: 10) 10.n-TGTGTGTGTGTGTGTG-c (SEQ ID NO: 11) 11. n-TATATATATATATATA-c(SEQ ID NO: 12) 12. n-TVTVTVTVTVTVTVTV-c (SEQ ID NO: 13) 13.n-TLTLTLTLTLTLTLTL-c (SEQ ID NO: 14) 14. n-TITITITITITITITI-c(SEQ ID NO: 15) 15. n-TMTMTMTMTMTMTMTM-c (SEQ ID NO: 16) 16.n-TFTFTFTFTFTFTFTF-c (SEQ ID NO: 17) 17. n-TWTWTWTWTWTWTWTW-c(SEQ ID NO: 18) 18. n-TPTPTPTPTPTPTPTP-c (SEQ ID NO: 19) 19.n-CGCGCGCGCGCGCGCG-c (SEQ ID NO: 20) 20. n-CACACACACACACACA-c(SEQ ID NO: 21) 21. n-CVCVCVCVCVCVCVCV-c (SEQ ID NO: 22) 22.n-CLCLCLCLCLCLCLCL-c (SEQ ID NO: 23) 23. n-CICICICICICICICI-c(SEQ ID NO: 24) 24. n-CMCMCMCMCMCMCMCM-c (SEQ ID NO: 25) 25.n-CFCFCFCFCFCFCFCF-c (SEQ ID NO: 26) 26. n-CWCWCWCWCWCWCWC-c(SEQ ID NO: 27) 27. n-CPCPCPCPCPCPCPCP-c (SEQ ID NO: 28) 28.n-YGYGYGYGYGYGYGYG-c (SEQ ID NO: 29) 29. n-YAYAYAYAYAYAYAYA-c(SEQ ID NO: 30) 30. n-YVYVYVYVYVYVYVYV-c (SEQ ID NO: 31) 31.n-YLYLYLYLYLYLYLYL-c (SEQ ID NO: 32) 32. n-YIYIYIYIYIYIYIYI-c(SEQ ID NO: 33) 33. n-YMYMYMYMYMYMYMYM-c (SEQ ID NO: 34) 34.n-YFYFYFYFYFYFYFYF-c (SEQ ID NO: 35) 35. n-YWYWYWYWYWYWYWYW-c(SEQ ID NO: 36) 36. n-YPYPYPYPYPYPYPYP-c (SEQ ID NO: 37) 37.n-NGNGNGNGNGNGNGNG-c (SEQ ID NO: 38) 38. n-NANANANANANANANA-c(SEQ ID NO: 39) 39. n-NVNVNVNVNVNVNVNV-c (SEQ ID NO: 40) 40.n-NLNLNLNLNLNLNLNL-c (SEQ ID NO: 41) 41. n-NINININININININI-c(SEQ ID NO: 42) 42. n-NMNMNMNMNMNMNMNM-c (SEQ ID NO: 43) 43.n-NFNFNFNFNFNFNFNF-c (SEQ ID NO: 44) 44. n-NWNWNWNWNWNWNWNW-c(SEQ ID NO: 45) 45. n-NPNPNPNPNPNPNPNP-c (SEQ ID NO: 46) 46.n-QGQGQGQGQGQGQGQG-c (SEQ ID NO: 47) 47. n-QAQAQAQAQAQAQAQA-c(SEQ ID NO: 48) 48. n-QVQVQVQVQVQVQVQV-c (SEQ ID NO: 49) 49.n-QLQLQLQLQLQLQLQL-c (SEQ ID NO: 50) 50. n-QIQIQIQIQIQIQIQI-c(SEQ ID NO: 51) 51. n-QMQMQMQMQMQMQMQM-c (SEQ ID NO: 52) 52.n-QFQFQFQFQFQFQFQF-c (SEQ ID NO: 53) 53. n-QWQWQWQWQWQWQWQW-c(SEQ ID NO: 54) 54. n-QPQPQPQPQPQPQPQP-c (SEQ ID NO: 55) 55.n-AEAKAEAKAEAKAEAK-c (SEQ ID NO: 56) 56. n-RADARADARADARADA-c(SEQ ID NO: 1) 57. n-RAEARAEARAEARAEA-c (SEQ ID NO: 58) 58.n-KADAKADAKADAKADA-c (SEQ ID NO: 59)

Other peptides or proteins can be used in combination or alternationwith the disclosed self-assembling peptides or compositions. It will beappreciated that the additional peptides can include otherself-assembling peptides or proteins. Alternatively, the peptide may bepeptides that do not self-assemble. Representative additional peptides,proteins, or chemically modified variants thereof include, but are notlimited to the peptides provided in Table 2.

TABLE 2 Additional Peptides No. Sequence (N → C)  1.Pmp-Y(Me)-I-T-N-C-P-Orn-Y-NH₂ (SEQ ID NO: 60)  2, Mpr-Y-F-Q-N-C-P-R(SEQ ID NO: 61)  3. C-Y-F-Q-N-C-P-R-G-NH₂ (SEQ ID NO: 62)  4.C-Y-F-Q-N-C-P-R (SEQ ID NO: 63)  5. C-Y-Ile-Q-N-C-P-R-G-NH₂(SEQ ID NO: 64)  6. Y-F-Q-N-Asu-P-R-G-NH₂ (SEQ ID NO: 65)  7.Y-Ile-Q-N-Asu-P-R-G-NH₂ (SEQ ID NO: 66)  8.Mpr-D-PyridylAnine-F-Q-N-C-P-R-G-NH₂ (SEQ ID NO: 67)  9.Deamino-Pen-Y-F-V-N-C-P-DR-G-NH₂ (SEQ ID NO: 68) 10.Mpr-Y-F-Q-N-C-P-R-G-NH₂ (SEQ ID NO: 69) 11. Mpr-Y-F-Q-N-C-P-DR-G-NH₂(SEQ ID NO: 70) 12. Mpr-Y-F-Q-N-C-P-K (SEQ ID NO: 71) 13.C-Y-F-Q-N-C-P-K-G-NH₂ (SEQ ID NO: 72) 14. C-Y-F-Q-N-C-P-K(SEQ ID NO: 73) 15. Mpr-Y-F-V-N-C-P-DR-G-NH₂ (SEQ ID NO: 74) 16.C-F-Ile-Q-N-C-P-Om-G-NH₂ (SEQ ID NO: 75) 17.Pmp-DY(OEt)-F-V-N-C-P-Cit-G-NH₂ (SEQ ID NO: 76) 18.Pmp-Y(OEt)-F-V-N-C-P-R-G-NH₂ (SEQ ID NO: 77) 19.Pmp-Y(Me)-F-Q-N-C-P-R-G-NH₂ (SEQ ID NO: 78) 20.Pmp-Y(Me)-I-Q-N-C-P-Orn-G-NH₂ (SEQ ID NO: 79) 21. G-DR-G-D-S-P(SEQ ID NO: 80) 22. G-DR-G-D-S-P-A-S-S-K (SEQ ID NO: 81) 23. G-P-R 24.G-Pen-G-R-G-D-S-P-C-A (SEQ ID NO: 82) 25. GRADSP (SEQ ID NO: 83) 26.GRGD-DS-P (SEQ ID NO: 84) 27. GRGDNP (SEQ ID NO: 85) 28. GRGDS(SEQ ID NO: 86) 29. GRGDSP (SEQ ID NO: 87) 30. GRGDSPC (SEQ ID NO: 88)31. GRGDSPK (SEQ ID NO: 89) 32. GRGDTP (SEQ ID NO: 90) 33. GRGES(SEQ ID NO: 91) 34. GRGESP (SEQ ID NO: 92) 35. GRGETP (SEQ ID NO: 93)36. KGDS (SEQ ID NO: 94) 37. GAVSTA (SEQ ID NO: 95) 38. WTVPTA(SEQ ID NO: 96) 39. TDVNGDGRHDL (SEQ ID NO: 97) 40. REDV (SEQ ID NO: 98)41. RGDC (SEQ ID NO: 99) 42. RGDS (SEQ ID NO: 100) 43. RGDSPASSKP(SEQ ID NO: 101) 44. RGDT (SEQ ID NO: 102) 45. RGDV (SEQ ID NO: 103) 46.RGES (SEQ ID NO: 104) 47. SDGR (SEQ ID NO: 105) 48. SDGRG(SEQ ID NO: 106) 49. YRGDS (SEQ ID NO: 107) 50. EGVNDNEEGFFSAR(SEQ ID NO: 108) 51. YADSGEGDFLAEGGGVR (SEQ ID NO: 109) 52.Glp-GVNDNEEGFFSARY (SEQ ID NO: 110) Pmp = pyridoxamine phosphate Mpr =3-mercaptopropionyl Deamino-Pen = deamino penicillamine Pen =penicillamine Asu = amino succinyl OEt = ethoxy Me = methyl Cit =citruline

Other useful self-assembling peptides can be generated, for example,which differ from those exemplified by a single amino acid residue or bymultiple amino acid residues (e.g., by inclusion or exclusion of arepeating quartet). For example, one or more cysteine residues may beincorporated into the peptides, and these residues may bond with oneanother through the formation of disulfide bonds. Structures bonded inthis manner may have increased mechanical strength relative tostructures made with comparable peptides that do not include cysteineresidues and thus are unable to form disulfide bonds.

The amino acid residues in the self-assembling peptides can be naturallyoccurring or non-naturally occurring amino acid residues. Naturallyoccurring amino acids can include amino acid residues encoded by thestandard genetic code as well as non-standard amino acids (e.g., aminoacids having the D-configuration instead of the L-configuration), aswell as those amino acids that can be formed by modifications ofstandard amino acids (e.g. pyrrolysine or selenocysteine and ornithine).Non-naturally occurring amino acids are not found or have not been foundin nature, but can be incorporated into a peptide chain. Suitablenon-naturally occurring amino acids include, but are not limited to,D-alloisoleucine(2R,3S)-2-amino-3-methylpentanoic acid, L-cyclopentylglycine (S)-2-amino-2-cyclopentyl acetic acid. Other examples ofnon-naturally occurring amino acids can be found in textbooks or on theworldwide web (e.g., a site is maintained by the California Institute ofTechnology which displays structures of non-natural amino acids thathave been successfully incorporated into functional proteins).Non-natural amino acid residues and amino acid derivatives described inU.S. Patent Application Publication No. 2004/0204561 to Ellison.

Self-assembling peptides can be chemically synthesized or purified fromnatural or recombinantly-produced sources by methods well known in theart. For example, peptides can be synthesized using standard F-mocchemistry.

Standard Fmoc (9-florenylmethoxycarbonyl) derivatives includeFmoc-Asp(OtBu)-OH, Fmoc-Arg(Pbf)-OH, and Fmoc-Ala-OH. Couplings aremediated with DIC (diisopropylcarbodiimide)/6-Cl-HOBT(6-chloro-1-hydroxybenzotriazole). In some embodiments, the last fourresidues of the peptide require one or more recoupling procedures. Inparticular, the final Fmoc-Arg(Pbf)-OH coupling can require recoupling.For example, a second or third recoupling can be carried out to completethe peptide using stronger activation chemistry such as DIC/HOAT(1-hydroxy-7-azabenzotriazole) or HATU(1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5-b]pyridinium3-oxid hexafluorophosphate)/NMM (N-methylmorpholine).

Acidolytic cleavage of the peptide can be carried out with the use ofcarbocation scavengers (thioanisole, anisole and H₂O). Optimization canbe achieved by varying the ratio of the components of the cleavagemixture. An exemplary cleavage mixture ratio is 90:2.5:2.5:5(trifluoroacetic acid (TFA)-:thioanisole-anisole-H₂O). The reaction canbe carried out for 4 hr. at room temperature.

In some embodiments the removal of residual impurities is carried out bywash steps. For example, TFA and organic impurities can be eliminated byprecipitation and repeated washes with cold diethyl ether and methylt-butyl ether (MTBE).

Peptides produced using the disclosed methods can be purified using highpressure liquid chromatography (HPLC). Suitable solvents for dissolvingthe peptides include neat trifluoroacetic acid (TFA). In someembodiments, 8 mL TFA/g peptide is sufficient to fully dissolve peptidesfollowing precipitation. For example, TFA can be diluted into H₂O foruse in the disclosed methods. Typically, the peptides remain soluble atTFA concentrations of 0.5% to 8% and can be loaded onto reverse phase(RP)-HPLC columns for salt exchange. Exemplary salt exchange methods use3-4 column volumes of acidic buffer to wash away the TFA counter ion dueto its stronger acidity coefficient. Buffers suitable for use in washingaway the TFA counter ion include 0.1% HCl in H₂O.

Following removal of TFA, peptides can be eluted with a step gradient.Exemplary elution buffers include 30% acetonitrile (MeCN) vs. 0.1% HClin H₂O. For acetate exchange, peptides can be loaded from the samediluted TFA solution, washed with 3-4 column volumes of 1% acetic acid(AcOH) in H₂O, followed by 2 column volumes of 0.1 M NH₄OAc in H₂O, pH4.4. In some embodiments the column is washed again with 3-4 columnvolumes of 1% AcOH in H₂O.

Peptides can be eluted from the columns using a step gradient of 30%MeCN vs. 1% AcOH in H₂O. In some embodiments the elution of peptides canbe enhanced acetate exchange. Exemplary buffers for acetate exchangeinclude 0.1 M NH₄OAc in H₂O, pH 4.4.

Analytical HPLC can be carried out to assess the purity and homogeneityof peptides. An exemplary HPLC column for use in analytical HPLC is aPHENOMENEX® JUPITER® column. In some embodiments analytical HPLC iscarried out using a column and buffer that are heated to a temperaturethat is greater than 25° C., for example 25-75° C. In a particularembodiment analytical HPLC is carried out at temperatures of about 65°C. A step gradient can be used to separate the peptide composition. Insome embodiments the gradient is from 1%-40% MeCN vs 0.05% TFA in H₂O.The change in gradient can be achieved over 20 min using a flow rate of1 ml/min. Peptides can be detected using UV detection at 215 nm.

Self-complementary peptides such as EAKA16-I (SEQ. ID NO. 410), RADA16-I(SEQ. ID NO. 1), RAEA16-I (SEQ. ID NO. 58), and KADA16-I (SEQ. ID NO.59) are described in Zhang, et al. ((1999) Peptide self-assembly infunctional polymer science and engineering. Reactive & FunctionalPolymers, 41, 91-102).

Peptide-based structures can be formed of heterogeneous mixtures ofpeptides (i.e., mixtures containing more than one type of peptideconforming to a given formula or to two or more of the formulas). Insome embodiments, each of the types of peptides in the mixture is ableto self-assemble alone. In other embodiments, one or more of each typeof peptide would not, alone, self-assemble but the combination ofheterogeneous peptides may self-assemble (i.e., peptides in the mixtureare complementary and structurally compatible with each other). Thus,either a homogeneous mixture of self-complementary and self-compatiblepeptides of the same sequence or containing the same repeating subunit,or a heterogeneous mixture of different peptides, which arecomplementary and structurally compatible to each other, can be used.

In a preferred embodiment, one or more short amino acid sequences thatassists in self-assembly (referred to as assembly assist sequences) canbe added to a homogeneous or heterogeneous mixture of amino acidsequences that alone do not self-assemble. The assembly assist sequencescontain amino acids that are complementary with the amino acids in thesequences in the mixture. The assembly assist sequences may contain anynumber of amino acids. Preferably, the assembly assist sequences containat least 4 amino acids. The assembly assist sequences may contain aflexible linker between the amino acids that assists in self-assembly.For example, the assembly assist sequence may contain a pair, a triad,or a quartet of assembly assisting amino acids at the termini of thesequence which are connected via a flexible linker. Suitable assemblyassist sequences include, but are not limited to, RADA (SEQ ID NO: 57)and EAKA (SEQ ID NO: 111).

Suitable linkers include, but are not limited to, ether based tetherssuch as polyethylene glycol (PEG), N-succinimidyl3-(2-pyridyldithio)propionate (SPDP, 3- and 7-atom spacer),long-chain-SPDP (12-atom spacer),(succinimidyloxycarbonyl-α-methyl-2-(2-pyridyldithio) toluene) (SMPT,8-atom spacer),succinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate) (SMCC,11-atom spacer) andsulfosuccinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate,(sulfo-SMCC, 11-atom spacer), m-maleimidobenzoyl-N-hydroxysuccinimideester (MBS, 9-atom spacer), N-(γ-maleimidobutyryloxy) succinimide ester(GMBS, 8-atom spacer), N-(γ-maleimidobutyryloxy) sulfosuccinimide ester(sulfo-GMBS, 8-atom spacer), succinimidyl 6-((iodoacetyl) amino)hexanoate (SIAX, 9-atom spacer), succinimidyl6-(6-(((4-iodoacetyl)amino)hexanoyl)amino)hexanoate (SIAXX, 16-atomspacer), and p-nitrophenyl iodoacetate (NPIA, 2-atom spacer). Oneordinarily skilled in the art also will recognize that a number of otherlinkers, with different numbers of atoms, may be used.

The compositions described herein regardless of the precise form (e.g.,whether in a liquid form or molded) and regardless of the overallcompositions (e.g., whether combined with another agent, containedwithin a device, or packaged in a kit) can include a mixture of one ormore peptide chains.

Self-assembled structures can be formed that have varying degrees ofstiffness or elasticity. The structures typically have a low elasticmodulus (e.g., a modulus in the range of about 0.01 to about 1000 kPa,preferably from about 1 to about 100 kPa, more preferably from about 1to about 10 kPa as measured by standard methods, such as in a standardcone-plate rheometer). Low values may be preferable, as they permitstructure deformation as a result of movement, in response to pressure,in the event of cell contraction. More specifically, stiffness can becontrolled in a variety of ways, including by changing the length,sequence, and/or concentration of the precursor molecules (e.g.,self-assembling peptides). Other methods for increasing stiffness canalso be employed. For example, one can attach, to the precursors, biotinmolecules or any other molecules that can be subsequently cross-linkedor otherwise bonded to one another. The molecules (e.g., biotin) can beincluded at an N- or C-terminus of a peptide or attached to one or moreresidues between the termini. Where biotin is used, cross-linking can beachieved by subsequent addition of avidin. Biotin-containing peptides orpeptides containing other cross-linkable molecules are within the scopeof the present invention. For example, amino acid residues withpolymerizable groups, including but not limited to vinyl groups, may beincorporated and cross-linked by exposure to UV light. The extent ofcrosslinking can be precisely controlled by applying the radiation for apredetermined length of time. The extent of crosslinking can bedetermined by light scattering, gel filtration, or scanning electronmicroscopy using methods well known in the art. Furthermore,crosslinking can be examined by HPLC or mass spectrometry analysis ofthe structure after digestion with a protease, such as matrixmetalloproteases. Material strength may be determined before and aftercross-linking. Regardless of whether cross-linking is achieved by achemical agent or light energy, the molecules may be cross-linked in thecourse of creating a mold or when peptide-containing solutions areapplied to the body. Further, self-assembling peptide chains can becrosslinked to form a spider web-type pattern to reinforce the materialin vivo. The crosslinks serve to reinforce the material providingincreased rigidity and strength. For example, the self-assemblingmaterial can be applied to a wound, wherein the periphery of thematerial is functionalized with polymerizable groups. Upon crosslinking,the periphery of the material becomes more rigid, anchoring the materialto the wound site, while the interior of material remains flexible tomove as the body moves.

The half-life (e.g., the in vivo half-life) of the structures can alsobe modulated by incorporating protease or peptidase cleavage sites intothe precursors that subsequently form a given structure. Proteases orpeptidases that occur naturally in vivo or that are introduced (e.g., bya surgeon) can then promote degradation by cleaving their cognatesubstrates.

Combinations of any of the modifications described here can be made. Forexample, self-assembling peptides that include a protease cleavage siteand a cysteine residue and/or a cross-linking agent, kits and devicescontaining them, and methods of using them can be utilized.

The peptide structures formed from any self-assembling peptides made byany process can be characterized using various biophysical and opticaltechniques, such as circular dichroism (CD), dynamic light scattering,Fourier transform infrared (FTIR), atomic force (tension) microscopy(ATM), scanning electron microscopy (SEM), and transmission electronmicroscopy (TEM). For example, biophysical methods can be used todetermine the degree of beta-sheet secondary structure in the peptidestructure. Filament and pore size, fiber diameter, length, elasticity,and volume fraction can be determined using quantitative image analysisof scanning and/or transmission electron micrographs. The structures canalso be examined using several standard mechanical testing techniques tomeasure the extent of swelling, the effect of pH and ion concentrationon structure formation, the level of hydration under various conditions,the tensile strength, as well as the manner in which variouscharacteristics change over the period of time required for thestructures to form and degrade. These methods allow one of ordinaryskill in the art to determine which of the various alternatives andpeptides described herein are most suitable for use in the variousmethods, and allow optimization of the various processes.

In another embodiment, the self-assembling materials can anchor orinteract with the structural extracellular matrix (ECM) at the edges ofblood vessels and/or tissues are described herein. These self-assemblingmaterials typically have hydrophobic and/or hydrophilic sections whichallow the material to react or interact with the glycoproteins found inthe ECM.

Preferably, the self-assembling materials when they breakdown, do notcause any secondary toxicity. Further, the break down product of theself-assembling materials would be suitable for the growth and repair ofthe surrounding tissues.

1. Other Self-assembling Materials

Another embodiment provides self-assembling peptides having a segment ofresidues having a positive charge under physiological conditions joinedto a segment of residues having a negative charge under physiologicalconditions. The segment of positively or negatively charged residues caninclude about 2 to about 50 amino acid residues, typically about 3 toabout 30 residues, more typically about 10 to about 20 amino acidresidues. In another embodiment, about half of the residues of theself-assembling peptide are positively charged and the other half of theself-assembling peptide has negatively charged amino acid residues. Acombination of these peptides can self-assemble by matching the positiveend of a first self-assembling peptide to the negative end of a secondself-assembling peptide. The negative end of the first self-assemblingpeptide will match up or align with the positive end of the secondself-assembling peptide. The self-assembling peptides will stack-up oraggregate based on opposite ends of the self-assembling peptides beingattacked based on charge at physiological compositions. Onerepresentative embodiment provides a self-assembling peptide having thefollowing sequence RRRR-DDDD (SEQ ID NO: 114) or GGGG-SSSS (SEQ ID NO:115).

In still another embodiment, the self-assembling peptide has a firsthydrophobic region operably linked to a first hydrophilic region. Thefirst hydrophobic region can include a segment of amino acid residuesthat have hydrophobic side chains under physiological conditions. Thefirst hydrophilic region can include a segment of amino acid residuesthat have hydrophilic side chains under physiological conditions. Inthis embodiment, the hydrophobic ends of the self-assembling peptideswould assemble with other hydrophobic ends and the hydrophilic endswould assemble with other hydrophilic ends. Assembly can be controlledby altering the environment of the peptides. Such materials could beused to coat the inside of a lumen. The hydrophobic ends would likelyinteract with the ECM of the lumen surface sealing the surface while thehydrophilic ends extend out towards the center of the lumen. Fluidswould continue to flow through the lumen. As the material degradesand/or is removed from the lumen surface, material would flow in fromother areas and again anchor to the lumen surface, thus the compositionacts a reservoir providing new material as needed. Alternatively,additional material could be administered to replace material that hasworn or been degraded. In another embodiment, the material can be usedas dynamic patches, for example, in the treatment of ulcers or for usein the intestine.

Another embodiment provides a self-assembling peptide that contains asegment of residues that have either a positive or negative charge underphysiological conditions. Representative amino acid sequences forpositively charged self-assembling peptides include, but are not limitedto, KKKK (SEQ ID NO: 116), RRRR (SEQ ID NO: 117), or HHHH (SEQ ID NO:118). Representative amino acid sequences for negatively chargedself-assembling peptides include, but are not limited to, DDDD (SEQ IDNO: 119) or EEEE (SEQ ID NO: 120). When combined, a string of positivelycharged amino acid residues will align parallel and opposite with astring of negatively charged amino acid residues. In certainembodiments, strings of positively charged amino acids will alternatewith strings of negatively charged amino acids to for a multilayeredstructure.

Still another embodiment provides self-assembling peptides that have acombination of hydrophilic polar amino acid residues and hydrophobicnon-polar amino acid residues under physiological conditions. The one ormore hydrophilic residues can alternate with one or more hydrophobicresidues. For example, the amino acid sequence of a representativeself-assembling peptide can be GQGQ (SEQ ID NO: 121), GGQQGG (SEQ ID NO:122), GQQGQQG (SEQ ID NO: 123), GGQGGQGG (SEQ ID NO: 124), etc. It willbe appreciated that the partitioning of the self-assembling peptide intoa polar or non-polar environment can be controlled by altering the ratioof hydrophobic amino acid residues to hydrophilic amino acid residues,wherein a ratio greater than 1:1 indicates that the peptide partitionsmore in hydrophobic conditions compared to hydrophilic conditions. Aratio of less than 1:1 indicates that the peptide partitions more inhydrophilic conditions compared to hydrophobic conditions.

Combinations of any of the modifications described here can be made. Forexample, self-assembling peptides that include a protease cleavage siteand a cysteine residue and/or a cross-linking agent, kits and devicescontaining them, and methods of using them can be utilized. Thecompositions can be used to prevent or limit movement of a bodily fluid,to stabilize tissue or cells, or to prevent contamination whenadministered to a site in need thereof. The compositions can be in theform of a dry powder, a wafer, a disk, a tablet, a capsule, a liquid, agel, a cream, a foam, an ointment, an emulsion, a coating on a stent,catheter or other medical implant, the peptides incorporated into amicroparticle, a polymeric matrix, a hydrogel, a fabric, a bandages, asuture, or a sponge.

B. Non-peptide Materials which Self-assemble

Another class of materials that can self-assemble is peptidomimetics.Peptidomimetics, as used herein, refers to molecules, which mimicpeptide structure. Peptidomimetics have general features analogous totheir parent structures, polypeptides, such as amphiphilicity. Examplesof such peptidomimetic materials are described in Moore et al., Chem.Rev. 101(12), 3893-4012 (2001).

The peptidomimetic materials can be classified into four categories:α-peptides, β-peptides, γ-peptides, and δ-peptides. Copolymers of thesepeptides can also be used.

Examples of α-peptide peptidomimetics include, but are not limited to,N,N′-linked oligoureas, oligopyrrolinones, oxazolidin-2-ones, azatidesand azapeptides.

Examples of β-peptides include, but are not limited to, β-peptidefoldamers, β-aminoxy acids, sulfur-containing β-peptide analogues, andhydrazino peptides.

Examples of γ-peptides include, but are not limited to, γ-peptidefoldamers, oligoureas, oligocarbamates, and phosphodiesters.

Examples of δ-peptides include, but are not limited to, alkene-basedδ-amino acids and carbopeptoids, such as pyranose-based carbopeptoidsand furanose-based carbopeptoids.

1. Peptidomimetics and Oligomers Having Backbones, which can AdoptHelical, Sheet, or Lattice Confirmations

Another class of compounds that self-assemble includes oligomers havingbackbones, which can adopt helical or sheet conformations. Example ofsuch compounds include, but are not limited to, compounds havingbackbones utilizing bipyridine segments, compounds having backbonesutilizing solvophobic interactions, compounds having backbones utilizingside chain interactions, compounds having backbones utilizing hydrogenbonding interactions, and compounds having backbones utilizing metalcoordination.

Examples of compounds containing backbones utilizing bipyridine segmentsinclude, but are not limited to, oligo(pyridine-pyrimidines),oligo(pyridine-pyrimidines) with hydrazal linkers, andpyridine-pyridazines.

Examples of compounds containing backbones utilizing solvophobicinteractions include, but are not limited to, oligoguanidines, aedamers(structures which take advantage of the stacking properties of aromaticelectron donor-acceptor interactions of covalently linked subunits) suchas oligomers containing 1,4,5,8-naphthalene-tetracarboxylic diimiderings and 1,5-dialkoxynaphthalene rings, and cyclophanes such assubstituted N-benzyl phenylpyridinium cyclophanes.

Examples of compounds containing backbones utilizing side chaininteractions include, but are not limited to, oligothiophenes such asolihothiophenes with chiral p-phenyl-oxazoline side chains, andoligo(m-phenylene-ethynylene)s.

Examples of compound containing backbones utilizing hydrogen bondinginteractions include, but are not limited to, aromatic amide backbonessuch as oligo(acylated 2,2′-bipyridine-3,3′-diamine)s andoligo(2,5-bis[2-aminophenyl]pyrazine)s, diaminopyridine backbonestemplated by cyanurate, and phenylene-pyridine-pyrimidine ethynylenebackbones templated by isophthalic acid.

Examples of compounds containing backbones utilizing metal coordinationinclude, but are not limited to, zinc bilinones, oligopyridinescomplexed with Co(II), Co(III), Cu(II), Ni(II), Pd(II), Cr(III), orY(III), oligo(m-phenylene ethynylene)s containing metal-coordinatingcyano groups, and hexapyrrins.

2. Nucleotidomimetics

Another class of molecules, which can self-assemble arenucleotidomimetics such as isomeric oligonucleotides, modifiedcarbohydrates, nucleotides with modified nucleotide linkages, andnucleotides with alternative nucleobases.

Examples of isomeric nucleotides include, but are not limited to,iso-RNA and iso-DNA and α-DNA (change in the anomeric configuration fromβ to α), alt-DNA, and 1-DNA.

Examples of modified carbohydrates include, but are not limited to,backbones with C1′-bases connectivities such as tetrofuranosyloligonucleotides, pentopyranosyl oligonucleotides, and hexopyranosyloligonucleotides; backbones with C2′-base connectivities such asisonucleotides (repositioning of the base sugar connection from C1 tothe C2 position), HNAs (insertion of an additional methylene groupbetween the 04′ and C1′ position of a furanose), ANAs (incorporation ofa C3′-(S)-hydroxyl group), MNAs (inversion of the C3′-OH configurationfrom (S) in ANAs to (R)), CNAs (replacement of the O of the hexose witha methylene group), CeNAs (introduction of a 5′-6′ alkene within theanalogous ring), as well as other ring systems, torsionally restrictedoligonucleotides such as bicyclic oligonucleotides, LNAs (restriction ofthe pentofaranose backbone to the 3′-endo configuration), torsionallyflexible oligonucleotides such as base sugar extensions (insertion ofmethylene and ethylene groups into both α- and β-deoxynucleotides) andacyclic backbones (glycerol derivatives incorporating phosphodiesterlinkages).

Examples of nucleotides with modified nucleotide linkages include, butare not limited to, PNAs (peptide nucleic acids), NDPs(nucleo-δ-peptides), fused sugar-base backbones, and cationic linkages.

Examples of alternative nucleobases include, but are not limited to,nucleotides with alternative aromatic nucleobases.

3. Other Materials

Other materials, which can self-assemble include N-alkylacrylamideoligomers and di- and triblock co-polymers. N-alkylacrylamides canassume self-assembled into sheet-like structures (see Kendhale, et al.,Chem Comm.). Examples of block copolymers include copolypeptides,polypeptide-PEGS, PEO-polybutadienes, PEG-polysaccharides, etc.

Another class of materials which are known to self-assemble aredendrimers. “Dendrimers”, as used herein, refers to branched polymerswith successive shells of branch units surrounding central core.Dendrimers can self-assemble through a variety of different mechanisms,such as hydrogen bonding, ionic interactions, hydrophobic interactions,solvent interaction, side chain interactions, and the like. Non-limitingexamples of self-assembling dendrimers are described in Zimmerman, etal., Science, Vol. 271, No. 5252, 1095-1098 (1996); Zimmerman, et al.,J. Am. Chem. Soc., 124(46), 13757-13769 (2002); and Frechet, Proc. Nat.Acad. Sci., Vol. 99, No. 8, 4782-4787 (2002).

C. Modification of Self-assembling Materials to Target Specific Tissues

The self-assembling material may further contain a tissue specificcomponent. The tissue specific component can be peptides,polysaccharides, or glycoproteins that are specific for eye, brain, orskin cells. For example, cell surface carbohydrates are major componentsof the outer surface of mammalian cells and are very oftencharacteristic of cell types. It is assumed that cell type-specificcarbohydrates are involved in cell-cell interaction. The tissue specificcomponent can therefore, target these cell specific surfacecarbohydrates.

Additionally, hydrophobic or hydrophilic tails can be added to theself-assembling material. The tails can interact with cell membranes,thus anchoring the self-assembling material on to the cell surface.Table 3 shows a list of peptides with hydrophobic tails. Hydrophilictails can also be added to the peptide, alone or in addition tohydrophobic tails, to facilitate interaction with the ECM of differentvessels or tissues, such as the bladder.

TABLE 3 Hydrophobic Tails No. Sequence (N → C)   1 GGGGGDGDGDGDGDGD(SEQ. ID NO. 126)   2 GGGGGEGEGEGEGEGE (SEQ. ID NO. 127)   3GGGGGKGKGKGKGKGK (SEQ. ID NO. 128)   4 GGGGGRGRGRGRGRGR(SEQ. ID NO. 129)   5 GGGGGHGHGHGHGHGH (SEQ. ID NO. 130)   6AAAAADADADADADAD (SEQ. ID NO. 131)   7 AAAAAEAEAEAEAEAE(SEQ. ID NO. 132)   8 AAAAAKAKAKAKAKAK (SEQ. ID NO. 133)   9AAAAARARARARARAR (SEQ. ID NO. 134)  10 AAAAAHAHAHAHAHAH(SEQ. ID NO. 135)  11 VVVVVDVDVDVDVDVD (SEQ. ID NO. 136)  12VVVVVEVEVEVEVEVE (SEQ. ID NO. 137)  13 VVVVVKVKVKVKVKVK(SEQ. ID NO. 138)  14 VVVVVRVRVRVRVRVR (SEQ. ID NO. 139)  15VVVVVHVHVHVHVHVH (SEQ. ID NO. 140)  16 LLLLLDLDLDLDLDLD(SEQ. ID NO. 141)  17 LLLLLELELELELELE (SEQ. ID NO. 142)  18LLLLLKLKLKLKLKLK (SEQ. ID NO. 143)  19 LLLLLRLRLRLRLRLR(SEQ. ID NO. 144)  20 LLLLLHLHLHLHLHLH (SEQ. ID NO. 145)  21IIIIIDIDIDIDIDID (SEQ. ID NO. 146)  22 IIIIIEIEIEIEIEIE(SEQ. ID NO. 147)  23 IIIIIKIKIKIKIKIK (SEQ. ID NO. 148)  24IIIIIRIRIRIRIRIR (SEQ. ID NO. 149)  25 IIIIIHIHIHIHIHIH(SEQ. ID NO. 150)  26 MMMMMDMDMDMDMDMD (SEQ. ID NO. 151)  27MMMMMEMEMEMEMEME (SEQ. ID NO. 152)  28 MMMMMKMKMKMKMKMK(SEQ. ID NO. 153)  29 MMMMMRMRMRMRMRMR (SEQ. ID NO. 154)  30MMMMMHMHMHMHMHMH (SEQ. ID NO. 155)  31 FFFFFDFDFDFDFDFD(SEQ. ID NO. 156)  32 FFFFFEFEFEFEFEFE (SEQ. ID NO. 157)  33FFFFFKFKFKFKFKFK (SEQ. ID NO. 158)  34 FFFFFRFRFRFRFRFR(SEQ. ID NO. 159)  35 FFFFFHFHFHFHFHFH (SEQ. ID NO. 160)  36WWWWWDWDWDWDWDWD (SEQ. ID NO. 161)  37 WWWWWEWEWEWEWEWE(SEQ. ID NO. 162)  38 WWWWWKWKWKWKWKWK (SEQ. ID NO. 163)  39WWWWWRWRWRWRWRWR (SEQ. ID NO. 164)  40 WWWWWHWHWHWHWHWH(SEQ. ID NO. 165)  41 PPPPPDPDPDPDPDPD (SEQ. ID NO. 166)  42PPPPPEPEPEPEPEPE (SEQ. ID NO. 167)  43 PPPPPKPKPKPKPKPK(SEQ. ID NO. 168)  44 PPPPPRPRPRPRPRPR (SEQ. ID NO. 169)  45PPPPPHPHPHPHPHPH (SEQ. ID NO. 170)  46 AAAAARADARADARAD(SEQ. ID NO. 171)  47 AAAAARARADADARAR (SEQ. ID NO. 172)  48AAAAAEAKAEAKAEAK (SEQ. ID NO. 173)  49 AAAAAEAEAKAKAEAE(SEQ. ID NO. 174)  50 AAAAARAEARAEARAE (SEQ. ID NO. 175)  51AAAAARARAEAEARAE (SEQ. ID NO. 176)  52 AAAAAKADAKADAKAD(SEQ. ID NO. 177)  53 AAAAAEAHAEAHAEAH (SEQ. ID NO. 178)  54AAAAAEAEAHAHAEAE (SEQ. ID NO. 179)  55 AAAAARARARARARAR(SEQ. ID NO. 180)  56 AAAAARARARARADAD (SEQ. ID NO. 181)  57AAAAARARARADADAD (SEQ. ID NO. 182)  58 AAAAAHADAHADAHAD(SEQ. ID NO. 183)  59 AAAAAHAHAHAHAHAH (SEQ. ID NO. 184)  60AAAAAHADADAHADAD (SEQ. ID NO. 185)  61 AAAAAHAEAEAHAEAE(SEQ. ID NO. 186)  62 GGGGGRGDGRGDGRGD (SEQ. ID NO. 187)  63GGGGGRGRGDGDGRGR (SEQ. ID NO. 188)  64 GGGGGEGKGEGKGEGK(SEQ. ID NO. 189)  65 GGGGGEGEGKGKGEGE (SEQ. ID NO. 190)  66GGGGGRGEGRGEGRGE (SEQ. ID NO. 191)  67 GGGGGRGRGEGEGRGE(SEQ. ID NO. 192)  68 GGGGGKGDGKGDGKGD (SEQ. ID NO. 193)  69GGGGGEGHGEGHGEGH (SEQ. ID NO. 194)  70 GGGGGEGEGHGHGEGE(SEQ. ID NO. 195)  71 GGGGGRGRGRGRGRGR (SEQ. ID NO. 196)  72GGGGGRGRGRGRGDGD (SEQ. ID NO. 197)  73 GGGGGRGRGRGDGDGD(SEQ. ID NO. 198)  74 GGGGGHGDGHGDGHGD (SEQ. ID NO. 199)  75GGGGGHGHGHGHGHGH (SEQ. ID NO. 200)  76 GGGGGHGDGDGHGDGD(SEQ. ID NO. 201)  77 GGGGGHGEGEGHGEGE (SEQ. ID NO. 202)  78VVVVVRVDVRVDVRVD (SEQ. ID NO. 203)  79 VVVVVRVRVDVDVRVR(SEQ. ID NO. 204)  80 VVVVVEVKVEVKVEVK (SEQ. ID NO. 205)  81VVVVVEVEVKVKVEVE (SEQ. ID NO. 206)  82 VVVVVRVEVRVEVRVE(SEQ. ID NO. 207)  83 VVVVVRVRVEVEVRVE (SEQ. ID NO. 208)  84VVVVVKVDVKVDVKVD (SEQ. ID NO. 209)  85 VVVVVEVHVEVHVEVH(SEQ. ID NO. 210)  86 VVVVVEVEVHVHVEVE (SEQ. ID NO. 211)  87VVVVVRVRVRVRVRVR (SEQ. ID NO. 212)  88 VVVVVRVRVRVRVDVD(SEQ. ID NO. 213)  89 VVVVVRVRVRVDVDVD (SEQ. ID NO. 214)  90VVVVVHVDVHVDVHVD (SEQ. ID NO. 215)  91 VVVVVHVHVHVHVHVH(SEQ. ID NO. 216)  92 VVVVVHVDVDVHVDVD (SEQ. ID NO. 217)  93VVVVVHVEVEVHVEVE (SEQ. ID NO. 218)  94 LLLLLRLDLRLDLRLD(SEQ. ID NO. 219)  95 LLLLLRLRLDLDLRLR (SEQ. ID NO. 220)  96LLLLLELKLELKLELK (SEQ. ID NO. 221)  97 LLLLLELELKLKLELE(SEQ. ID NO. 222)  98 LLLLLRLELRLELRLE (SEQ. ID NO. 223)  99LLLLLRLRLELELRLE (SEQ. ID NO. 224) 100 LLLLLKLDLKLDLKLD(SEQ. ID NO. 225) 101 LLLLLELHLELHLELH (SEQ. ID NO. 226) 102LLLLLELELHLHLELE (SEQ. ID NO. 227) 103 LLLLLRLRLRLRLRLR(SEQ. ID NO. 228) 104 LLLLLRLRLRLRLDLD (SEQ. ID NO. 229) 105LLLLLRLRLRLDLDLD (SEQ. ID NO. 230) 106 LLLLLHLDLHLDLHLD(SEQ. ID NO. 231) 107 LLLLLHLHLHLHLHLH (SEQ. ID NO. 232) 108LLLLLHLDLDLHLDLD (SEQ. ID NO. 233) 109 LLLLLHLELELHLELE(SEQ. ID NO. 234) 110 IIIIIRIDIRIDIRID (SEQ. ID NO. 235) 111IIIIIRIRIDIDIRIR (SEQ. ID NO. 236) 112 IIIIIEIKIEIKIEIK(SEQ. ID NO. 237) 113 IIIIIEIEIKIKIEIE (SEQ. ID NO. 238) 114IIIIIRIEIRIEIRIE (SEQ. ID NO. 239) 115 IIIIIRIRIEIEIRIE(SEQ. ID NO. 240) 116 IIIIIKIDIKIDIKID (SEQ. ID NO. 241) 117IIIIIEIHIEIHIEIH (SEQ. ID NO. 242) 118 IIIIIEIEIHIHIEIE(SEQ. ID NO. 243) 119 IIIIIRIRIRIRIRIR (SEQ. ID NO. 244) 120IIIIIRIRIRIRIDID (SEQ. ID NO. 245) 121 IIIIIRIRIRIDIDID(SEQ. ID NO. 246) 122 IIIIIHIDIHIDIHID (SEQ. ID NO. 247) 123IIIIIHIHIHIHIHIH (SEQ. ID NO. 248) 124 IIIIIHIDIDIHIDID(SEQ. ID NO. 249) 125 IIIIIHIEIEIHIEIE (SEQ. ID NO. 250) 126MMMMMRMDMRMDMRMD (SEQ. ID NO. 251) 127 MMMMMRMRMDMDMRMR(SEQ. ID NO. 252) 128 MMMMMEMKMEMKMEMK (SEQ. ID NO. 253) 129MMMMMEMEMKMKMEME (SEQ. ID NO. 254) 130 MMMMMRMEMRMEMRME(SEQ. ID NO. 255) 131 MMMMMRMRMEMEMRME (SEQ. ID NO. 256) 132MMMMMKMDMKMDMKMD (SEQ. ID NO. 257) 133 MMMMMEMHMEMHMEMH(SEQ. ID NO. 258) 134 MMMMMEMEMHMHMEME (SEQ. ID NO. 259) 135MMMMMRMRMRMRMRMR (SEQ. ID NO. 260) 136 MMMMMRMRMRMRMDMD(SEQ. ID NO. 261) 137 MMMMMRMRMRMDMDMD (SEQ. ID NO. 262) 138MMMMMHMDMHMDMHMD (SEQ. ID NO. 263) 139 MMMMMHMHMHMHMHMH(SEQ. ID NO. 264) 140 MMMMMHMDMDMHMDMD (SEQ. ID NO. 265) 141MMMMMHMEMEMHMEME (SEQ. ID NO. 266) 142 FFFFFRFDFRFDFRFD(SEQ. ID NO. 267) 143 FFFFFRFRFDFDFRFR (SEQ. ID NO. 268) 144FFFFFEFKFEFKFEFK (SEQ. ID NO. 269) 145 FFFFFEFEFKFKFEFE(SEQ. ID NO. 270) 146 FFFFFRFEFRFEFRFE (SEQ. ID NO. 271) 147FFFFFRFRFEFEFRFE (SEQ. ID NO. 272) 148 FFFFFKFDFKFDFKFD(SEQ. ID NO. 273) 149 FFFFFEFHFEFHFEFH (SEQ. ID NO. 274) 150FFFFFEFEFHFHFEFE (SEQ. ID NO. 275) 151 FFFFFRFRFRFRFRFR(SEQ. ID NO. 276) 152 FFFFFRFRFRFRFDFD (SEQ. ID NO. 277) 153FFFFFRFRFRFDFDFD (SEQ. ID NO. 278) 154 FFFFFHFDFHFDFHFD(SEQ. ID NO. 279) 155 FFFFFHFHFHFHFHFH (SEQ. ID NO. 280) 156FFFFFHFDFDFHFDFD (SEQ. ID NO. 281) 157 FFFFFHFEFEFHFEFE(SEQ. ID NO. 282) 158 WWWWWRWDWRWDWRWD (SEQ. ID NO. 283) 159WWWWWRWRWDWDWRWR (SEQ. ID NO. 284) 160 WWWWWEWKWEWKWEWK(SEQ. ID NO. 285) 161 WWWWWEWEWKWKWEWE (SEQ. ID NO. 286) 162WWWWWRWEWRWEWRWE (SEQ. ID NO. 287) 163 WWWWWRWRWEWEWRWE(SEQ. ID NO. 288) 164 WWWWWKWDWKWDWKWD (SEQ. ID NO. 289) 165WWWWWEWHWEWHWEWH (SEQ. ID NO. 290) 166 WWWWWEWEWHWHWEWE(SEQ. ID NO. 291) 167 WWWWWRWRWRWRWRWR (SEQ. ID NO. 292) 168WWWWWRWRWRWRWDWD (SEQ. ID NO. 293) 169 WWWWWRWRWRWDWDWD(SEQ. ID NO. 294) 170 WWWWWHWDWHWDWHWD (SEQ. ID NO. 295) 171WWWWWHWHWHWHWHWH (SEQ. ID NO. 296) 172 WWWWWHWDWDWHWDWD(SEQ. ID NO. 297) 173 WWWWWHWEWEWHWEWE (SEQ. ID NO. 298) 174PPPPPRPDPRPDPRPD (SEQ. ID NO. 299) 175 PPPPPRPRPDPDPRPR(SEQ. ID NO. 300) 176 PPPPPEPKPEPKPEPK (SEQ. ID NO. 301) 177PPPPPEPEPKPKPEPE (SEQ. ID NO. 302) 178 PPPPPRPEPRPEPRPE(SEQ. ID NO. 303) 179 PPPPPRPRPEPEPRPE (SEQ. ID NO. 304) 180PPPPPKPDPKPDPKPD (SEQ. ID NO. 305) 181 PPPPPEPHPEPHPEPH(SEQ. ID NO. 306) 182 PPPPPEPEPHPHPEPE (SEQ. ID NO. 307) 183PPPPPRPRPRPRPRPR (SEQ. ID NO. 308) 184 PPPPPRPRPRPRPDPD(SEQ. ID NO. 309) 185 PPPPPRPRPRPDPDPD (SEQ. ID NO. 310) 186PPPPPHPDPHPDPHPD (SEQ. ID NO. 311) 187 PPPPPHPHPHPHPHPH(SEQ. ID NO. 312) 188 PPPPPHPDPDPHPDPD (SEQ. ID NO. 313) 189PPPPPHPEPEPHPEPE (SEQ. ID NO. 314) 190 SSSSSRSDSRSDSRSD(SEQ. ID NO. 315) 191 SSSSSRSRSDSDSRSR (SEQ. ID NO. 316) 192SSSSSESKSESKSESK (SEQ. ID NO. 317) 193 SSSSSESESKSKSESE(SEQ. ID NO. 318) 194 SSSSSRSESRSESRSE (SEQ. ID NO. 319) 195SSSSSRSRSESESRSE (SEQ. ID NO. 320) 196 SSSSSKSDSKSDSKSD(SEQ. ID NO. 321) 197 SSSSSESHSESHSESH (SEQ. ID NO. 322) 198SSSSSESESHSHSESE (SEQ. ID NO. 323) 199 SSSSSRSRSRSRSRSR(SEQ. ID NO. 324) 200 SSSSSRSRSRSRSDSD (SEQ. ID NO. 325) 201SSSSSRSRSRSDSDSD (SEQ. ID NO. 326) 202 SSSSSHSDSHSDSHSD(SEQ. ID NO. 327) 203 SSSSSHSHSHSHSHSH (SEQ. ID NO. 328) 204SSSSSHSDSDSHSDSD (SEQ. ID NO. 329) 205 SSSSSHSESESHSESE(SEQ. ID NO. 330) 206 TTTTTRTDTRTDTRTD (SEQ. ID NO. 331) 207TTTTTRTRTDTDTRTR (SEQ. ID NO. 332) 208 TTTTTETKTETKTETK(SEQ. ID NO. 333) 209 TTTTTETETKTKTETE (SEQ. ID NO. 334) 210TTTTTRTETRTETRTE (SEQ. ID NO. 335) 211 TTTTTRTRTETETRTE(SEQ. ID NO. 336) 212 TTTTTKTDTKTDTKTD (SEQ. ID NO. 337) 213TTTTTETHTETHTETH (SEQ. ID NO. 338) 214 TTTTTETETHTHTETE(SEQ. ID NO. 339) 215 TTTTTRTRTRTRTRTR (SEQ. ID NO. 340) 216TTTTTRTRTRTRTDTD (SEQ. ID NO. 341) 217 TTTTTRTRTRTDTDTD(SEQ. ID NO. 342) 218 TTTTTHTDTHTDTHTD (SEQ. ID NO. 343) 219TTTTTHTHTHTHTHTH (SEQ. ID NO. 344) 220 TTTTTHTDTDTHTDTD(SEQ. ID NO. 345) 221 TTTTTHTETETHTETE (SEQ. ID NO. 346) 222CCCCCRCDCRCDCRCD (SEQ. ID NO. 347) 223 CCCCCRCRCDCDCRCR(SEQ. ID NO. 348) 224 CCCCCECKCECKCECK (SEQ. ID NO. 349) 225CCCCCECECKCKCECE (SEQ. ID NO. 350) 226 CCCCCRCECRCECRCE(SEQ. ID NO. 351) 227 CCCCCRCRCECECRCE (SEQ. ID NO. 352) 228CCCCCKCDCKCDCKCD (SEQ. ID NO. 353) 229 CCCCCECHCECHCECH(SEQ. ID NO. 354) 230 CCCCCECECHCHCECE (SEQ. ID NO. 355) 231CCCCCRCRCRCRCRCR (SEQ. ID NO. 356) 232 CCCCCRCRCRCRCDCD(SEQ. ID NO. 357) 233 CCCCCRCRCRCDCDCD (SEQ. ID NO. 358) 234CCCCCHCDCHCDCHCD (SEQ. ID NO. 359) 235 CCCCCHCHCHCHCHCH(SEQ. ID NO. 360) 236 CCCCCHCDCDCHCDCD (SEQ. ID NO. 361) 237CCCCCHCECECHCECE (SEQ. NO. ID 362) 238 YYYYYRYDYRYDYRYD(SEQ. ID NO. 363) 239 YYYYYRYRYDYDYRYR (SEQ. ID NO. 364) 240YYYYYEYKYEYKYEYK (SEQ. ID NO. 365) 241 YYYYYEYEYKYKYEYE(SEQ. ID NO. 366) 242 YYYYYRYEYRYEYRYE (SEQ. ID NO. 367) 243YYYYYRYRYEYEYRYE (SEQ. ID NO. 368) 244 YYYYYKYDYKYDYKYD(SEQ. ID NO. 125) 245 YYYYYEYHYEYHYEYH (SEQ. ID NO. 369) 246YYYYYEYEYHYHYEYE (SEQ. ID NO. 370) 247 YYYYYRYRYRYRYRYR(SEQ. ID NO. 371) 248 YYYYYRYRYRYRYDYD (SEQ. ID NO. 372) 249YYYYYRYRYRYDYDYD (SEQ. NO. ID 373) 250 YYYYYHYDYHYDYHYD(SEQ. ID NO. 374) 251 YYYYYHYHYHYHYHYH (SEQ. ID NO. 375) 252YYYYYHYDYDYHYDYD (SEQ. ID NO. 376) 253 YYYYYHYEYEYHYEYE(SEQ. ID NO. 377) 254 NNNNNRNDNRNDNRND (SEQ. ID NO. 378) 255NNNNNRNRNDNDNRNR (SEQ. ID NO. 378) 256 NNNNNENKNENKNENK(SEQ. ID NO. 380) 257 NNNNNENENKNKNENE (SEQ. ID NO. 381) 258NNNNNRNENRNENRNE (SEQ. ID NO. 382) 259 NNNNNRNRNENENRNE(SEQ. ID NO. 383) 260 NNNNNKNDNKNDNKND (SEQ. ID NO. 384) 261NNNNNENHNENHNENH (SEQ. ID NO. 385) 262 NNNNNENENHNHNENE(SEQ. ID NO. 386) 263 NNNNNRNRNRNRNRNR (SEQ. ID NO. 387) 264NNNNNRNRNRNRNDND (SEQ. ID NO. 388) 265 NNNNNRNRNRNDNDND(SEQ. ID NO. 389) 266 NNNNNHNDNHNDNHND (SEQ. ID NO. 390) 267NNNNNHNHNHNHNHNH (SEQ. ID NO. 391) 268 NNNNNHNDNDNHNDND(SEQ. ID NO. 392) 269 NNNNNHNENENHNENE (SEQ. ID NO. 393) 270QQQQQRQDQRQDQRQD (SEQ. ID NO. 394) 271 QQQQQRQRQDQDQRQR(SEQ. ID NO. 395) 272 QQQQQEQKQEQKQEQK (SEQ. ID NO. 396) 273QQQQQEQEQKQKQEQE (SEQ. ID NO. 397) 274 QQQQQRQEQRQEQRQE(SEQ. ID NO. 398) 275 QQQQQRQRQEQEQRQE (SEQ. ID NO. 399) 276QQQQQKQDQKQDQKQD (SEQ. ID NO. 400) 277 QQQQQEQHQEQHQEQH(SEQ. ID NO. 401) 278 QQQQQEQEQHQHQEQE (SEQ. ID NO. 402) 279QQQQQRQRQRQRQRQR (SEQ. ID NO. 403) 280 QQQQQRQRQRQRQDQD(SEQ. ID NO. 404) 281 QQQQQRQRQRQDQDQD (SEQ. ID NO. 405) 282QQQQQHQDQHQDQHQD (SEQ. ID NO. 406) 283 QQQQQHQHQHQHQHQH(SEQ. ID NO. 407) 284 QQQQQHQDQDQHQDQD (SEQ. ID NO. 408) 285QQQQQHQEQEQHQEQE (SEQ. ID NO. 409)

D. Formation of Self-assembling Materials

The peptides used to form the mesh can be assembled prior to applicationof the patch or can be assembled at the time of application either bycontacting the mesh with an ionic solution or allowing the mesh tocontact a bodily fluid.

Self-assembly may be initiated or enhanced at any subsequent time by theaddition of an ionic solute or diluent to a solution of the material orby a change in pH. For example, NaCl at a concentration of betweenapproximately 5 mM and 5 M can induce the assembly of macroscopicstructures within a short period of time (e.g., within a few minutes).Lower concentrations of NaCl may also induce assembly but at a slowerrate. Alternatively, self-assembly may be initiated or enhanced byintroducing the materials (whether dry, in a semi-solid gel, ordissolved in a liquid solution that is substantially free of ions) intoa fluid (e.g., a physiological fluid such as blood or gastric juice) oran area (e.g., a body cavity such as the nose or mouth or a cavityexposed by a surgical procedure) comprising such ions. The gel does nothave to be pre-formed prior to application to the desired site.Generally, self-assembly is expected to occur upon contacting thematerials with such a solution in any manner.

A wide variety of ions, including anions and cations (whether divalent,monovalent, or trivalent), can be used. For example, one can promote aphase transition by exposure to monovalent cations such as Li⁺, Na⁺, K⁺,and Cs⁺. The concentration of such ions required to induce or enhanceself-assembly is typically at least 5 mM (e.g., at least 10, 20, or 50mM). Lower concentrations also facilitate assembly, although at areduced rate. When desired, self-assembling materials can be deliveredwith a hydrophobic material (e.g. a pharmaceutically-acceptable oil) ina concentration that permits self-assembly, but at a reduced rate. Whenself-assembling materials are mixed with a hydrophobic agent such as anoil or lipid the assembly of the material forms different structures.The structures will appear like ice on a layer of oil. In some caseswhen another material is added, the material will assemble into variousother three dimensional structures that may be suitable for loading of atherapeutic agent. The hydrophilic part of the molecule will assemble insuch a way as to minimize hydrophobic-hydrophilic interaction, therebycreating a barrier between the two environments. Several experimentshave shown that the self-assembling materials will align on the surfaceof the oil like ice on water with the hydrophobic part of the moleculetoward the surface and the hydrophilic portion of the molecule facingaway from the oil, or will form toroidal-like structures with thehydrophobic material contained inside. This type of behavior enables theencapsulation of therapeutics or other molecules of interested fordelivery in the body.

In another embodiment, the composition may contain a salt scavenger todrive assembly to a preferred configuration. For example, circulardichroism (“CD”) experiments indicate that the assembly dynamics can becontrolled using salt scavengers or salt enhancement to increase theformation of β-sheets, α-helices, or more random configurations. Thecompositions may optionally contain an indicator showing theconfiguration of the assembly (e.g., α-helix, β-sheet, lattice, etc.).

Alternatively, some of the materials described herein do not requireions to self-assemble but may self-assemble due to interactions withsolvent, hydrophobic interactions, side chain interactions, hydrogenbonding, and the like.

The materials can be formed within regularly or irregularly-shapedmolds, which may include a body cavity or a portion of the body (e.g.,the lumen of a blood vessel) or which may be an inert material such asplastic or glass. The structures or scaffolds can be made to conform toa predetermined shape or to have a predetermined volume. To form astructure with a predetermined shape or volume (e.g., a desired geometryor dimension, including thin sheets or films), an aqueous solution ofthe material is placed in a pre-shaped casting mold, and the materialsare induced to self-assemble by the addition of a plurality of ions.Alternately, the ions may be added to the solution shortly beforeplacing the solution into the mold, provided that care is taken to placethe solution into the mold before substantial assembly occurs. Where themold is a tissue (e.g., the lumen of a blood vessel or othercompartment, whether in situ or not), the addition of an ionic solutionmay not be necessary. The resulting material characteristics, the timerequired for assembly, and the dimensions of the macroscopic structurethat forms are governed by the concentration and amount of solution thatis applied, the concentration of ions used to induce assembly of thestructure, and the dimensions of the casting apparatus. The scaffold canachieve a gel-like or substantially solid form at room temperature, andheat may be applied to facilitate the molding (e.g., one can heat asolution used in the molding process (e.g., a precursor-containingsolution) to a temperature ranging up to about body temperature(approximately 37° C.)). Once the scaffold has reached the desireddegree of firmness, it can be removed from the mold and used for apurpose described herein. Alternatively, the materials described hereinmay be used to anchor host tissue to a tissue matrix or scaffold. Forexample, the materials described herein can be used as a “glue” toanchor host tissue that is to be regenerated to a tissue matrix orscaffold to ensure that the matrix or scaffold stays in place in thelocal environment to which it is injected or implanted. Tissue matricesand scaffolds are well known in the art and can be prepared fromsynthetic, semi-synthetic, and/or natural materials.

Materials that assemble and/or undergo a phase transition (e.g., atransition from a liquid state to a semi-solid, gel, etc.) when theycome in contact with the body or an ionic solution are useful inpreventing the movement of bodily substances. Self-assembly or phasetransition is triggered by components found in a subject's body (e.g.,ions) or by physiological pH and is assisted by physiologicaltemperatures. Self-assembly or phase transition can begin when thecompositions are exposed to or brought into contact with a subject'sbody and may be facilitated by the local application of heat to the areawhere the composition has been (or will be) deposited. Based on studiesto date, self-assembly occurs rapidly upon contact with internal bodilytissues without the application of additional heat. The time requiredfor effective assembly and/or phase transition can occur in 60 secondsor less following contact with a subject's internal tissues or toconditions similar to those found within the body (e.g., in 50, 40, 30,20, or 10 seconds or less). In some circumstances, such as where theconcentration of self-assembling agents in the composition is low orwhere the movement of the bodily substance is substantial, self-assemblyor phase transition may take longer to achieve the desired effect, forexample, up to a minute, 5 minutes, 10 minutes, 30 minutes, an hour, orlonger. For example, a solution containing a self-assembling peptideapplied to sites of blood vessel transection in the brain, liver, ormuscle provided complete hemostasis within times as short as 10 secondsfollowing application. Ion-containing solutions may be preferred whenthe compositions are used to protect a subject from contamination, asphase transitions do not occur, or do not readily occur, when non-ionicsolutions contact intact skin.

The compositions can form structures that are substantially rigid (e.g.,solid or nearly solid) or that assume a definite shape and volume (e.g.,structures that conform to the shape and volume of the location to whicha liquid composition was administered, whether in vivo or ex vivo). Thesolidified material may be somewhat deformable or compressible afterassembly or phase transition, but will not substantially flow from onearea to another, as compositions at a different point along the liquidto solid continuum may do, which may be due, at least in part, to theirability to undergo phase transitions. As a result, the compositions canbe used to prevent the movement of a bodily substance in a subject inneed thereof. Self-assembly can be achieved in vitro, in vivo, or exvivo, by exposure to conditions within a certain range of physiologicalvalues (e.g., conditions appropriate for cell or tissue culture), or byexposure to non-physiological conditions. “Non-physiological conditions”refers to conditions within the body or at a particular site thatdeviate from normal physiological conditions at that site. Suchconditions may result from trauma, surgery, injury, infection, or adisease, disorder, or condition. For example, a puncture wound in thestomach generally results in a decrease in the pH as stomach acid flowsinto the wound site. The materials described herein should self-assembleunder such conditions. While liquid formulations are readily dispensed,the compositions administered may also be in a gel form that may becomestiffer upon contact with the subject's body.

Regardless of the precise nature of the self-assembling materials, uponexposure to conditions such as those described herein, the materials canform membranous two- or three-dimensional structures including a stablemacroscopic porous matrix having ordered or non-ordered interwovennanofibers (e.g., fibers approximately 5-20 nm in diameter, with a poresize of about 50-100 nm in a linear dimension). Three-dimensionalmacroscopic matrices can have dimensions large enough to be visibleunder low magnification (e.g., about 10-fold or less), and themembranous structures can be visible to the naked eye, even iftransparent. Although three-dimensional, the structures can beexceedingly thin, including a limited number of layers of molecules(e.g., 2, 3, or more layers of molecules). Typically, each dimension ofa given structure will be at least 10 μm in size (e.g., two dimensionsof at least 100-1000 μm in size (e.g., 1-10 mm, 10-100 mm, or more)).The relevant dimensions may be expressed as length, width, depth,breadth, height, radius, diameter, or circumference in the case ofstructures that have a substantially regular shape (e.g., where thestructure is a sphere, cylinder, cube, or the like) or an approximationof any of the foregoing where the structures do not have a regularshape.

The self-assembling materials can form a hydrated material whencontacted with water under conditions such as those described herein(e.g., in the presence of a sufficient concentration (e.g.,physiological concentrations) of ions (e.g., monovalent cations)). Thematerials may have a high water content (e.g., approximately 95% or more(e.g., approximately 97%, 98%, 99% or more)), and the compositions canbe hydrated but not substantially self-assembled. A given value may be“approximate” in recognition of the fact that measurements can varydepending, for example, on the circumstances under which they are madeand the skill of the person taking the measurement. Generally, a firstvalue is approximately equal to a second when the first falls within 10%of the second (whether greater than or less than) unless it is otherwiseclear from the context that a value is not approximate or where, forexample, such value would exceed 100% of a possible value.

The properties and mechanical strength of the structures or scaffoldscan be controlled as required through manipulation of the componentstherein. For example, the stiffness of an assembled gel can be increasedby increasing the concentration of self-assembling materials therein.Alternatively, it may be desirable for different parts of the materialto have different mechanical properties. For example, it may beadvantageous to decrease the stability of all or part of the material bymanipulating the amino acid sequence. This may be desirable when thematerials are used to fill a void, such that the edges of the materialself-assemble to attach to the tissue site while the rest of thematerial flows out into the void. The sequences, characteristics, andproperties of the materials and the structures formed by them uponself-assembly are discussed further below.

E. Therapeutic, Prophylactic and Diagnostic Agents

The meshes may also include other therapeutic, prophylactic ordiagnostic agents. In a preferred embodiment, these may beanti-inflammatory agents, vasoactive agents, anti-infective agents,anesthetics, growth factors, vitamins, nutrients, and/or cells.

These can be peptides or proteins, polysaccharides or saccharides,nucleic acids nucleotides, proteoglycan, lipid, carbohydrate, or a smallmolecule, typically an organic compound, having multiple carbon-carbonbonds that may be isolated from nature or prepared via chemicalsynthesis. Small molecules have relatively low molecular weights (e.g.,less than about 1500 g/mol) and are not peptides or nucleic acids. Thesubstance can also be a biomolecule, which is a molecule such as apeptide, proteoglycan, lipid, carbohydrate, or nucleic acid havingcharacteristics typical of molecules found in living organisms. Likesmall molecules, biomolecules can be naturally occurring or may beartificial (i.e., they may be molecules that have not been found innature). For example, a protein having a sequence that has not beenfound in nature (e.g., one that does not occur in a publicly availabledatabase of sequences) or that has a known sequence modified in anunnatural way by a human hand (e.g., a sequence modified by altering apost-translational process such as glycosylation) is an artificialbiomolecule. Nucleic acid molecules encoding such proteins (e.g., anoligonucleotide, optionally contained within an expression vector) arealso biomolecules and can be incorporated into the compositionsdescribed herein. For example, a composition can include a plurality ofself-assembling materials and cells that express, or that are engineeredto express, a protein biomolecule (by virtue of containing a nucleicacid sequence that encodes the protein biomolecule).

Many different therapeutic, prophylactic or diagnostic agents can beincorporated into the formulation. Representative vasoconstrictorsinclude epinephrine and phenylephrine; representative coloring agentsinclude arsenazo III, chlorophosphonazo III, antipyrylazo 111, murexide,Eriochrome Black T, Eriochrome Blue SE, oxyacetazo I, carboxyazo III,tropolone, methylthymol blue, and Mordant Black 32; representativeanesthetic agents include benzocaine, bupivacaine, butamben picrate,chloroprocaine, cocaine, curare, dibucaine, dyclonine, etidocaine,lidocaine, mepivacaine, pramoxine, prilocaine, procaine, propoxycaine,ropivacaine, tetracaine, or combinations thereof. Local application ofthe anesthetic agent may be all that is required in some situations, forexample, for a burn or other wound to the skin, including decubitusulcers; wounds, such as cancer sores; or for minimally invasivesurgeries. Combining local anesthetics with the self-assemblingmaterials, whether combined by virtue of being present in the samecomposition or by virtue of co-administration, can help contain theanesthetic within the body and reduce the amount entering thecirculation.

Vasoconstrictors such as phenylephrine can be included to prolong theeffect of local anesthesia (e.g., 0.1-0.5% phenylephrine). Analgesicagents other than a local anesthetic agent, such as steroids,non-steroidal anti-inflammatory agents like indomethacin, plateletactivating factor (PAF) inhibitors such as lexipafant, CV 3988, and/orPAF receptor inhibitors such as SRI 63-441.

An anti-infective or antimicrobial agent (e.g., an antibiotic,antibacterial, antiviral, or antifungal agent) can be included foreither systemic or local administration. Examples include β-lactamantibiotics such as penicillins and cephalosporins; other inhibitors ofcell wall synthesis such as vancomycin; chloramphenicol; tetracyclines;macrolides; clindamyin; streptogramins; aminoglycosides; spectinomycin;sulfonamides; trimethoprim; quinolones; amphotericin B; flucytosine;azoles such as ketoconazole, itraconazole, fluconazole, clotrimazole,and miconazole; griseofulvin; terbinafine; and nystatin. Theantimicrobial can be topically administered (e.g., to treat skininfections or burns) or to help prevent infection at a site of catheterinsertion (e.g., an intravenous catheter). Suitable topicalantimicrobials include kanamycin, neomycin, bacitracin, polymixin,topical sulfonamides such as mafenide acetate or silver sulfadiazine,and gentamicin sulfate. The antimicrobial can also be a broad-spectrumagent. For example, a second, third, or fourth generation cephalosporincan be used. These agents may be active against a wide range of bacteriaincluding both gram positive and gram-negative species. Suchantibacterial agents may be particularly appropriate where the presentscaffolds are used to inhibit movement of intestinal contents such asduring intestinal resection or other surgery that purposefully oraccidentally disturbs the integrity of the intestinal wall. One ofordinary skill in the art will be able to select appropriateantimicrobial agents by considering factors such as the patient'shistory (e.g., any history of an allergic reaction to such agents), thelocation to which the peptides are to be applied, and the type ofinfectious agent likely to be present. Compositions containingantimicrobial agents can prevent infections in a variety of waysincluding: (1) killing the infectious agent due to the activity of theantimicrobial agent; (2) preventing infection by assembly of thematerial to form a barrier which blocks infiltration of the infectiousagent into the tissue by blocking the tissue specific sequence on theinfectious agent from interacting with the tissue; (3) causing theinfectious agent to change its orientation with respect to the tissuedue to the charge of the self-assembling material and thus blockinfiltration of the infectious agent into the tissue; (4) encapsulatingthe infectious agent within the self-assembling material to preventinfiltration of the infectious agent; and combinations thereof. Thematerials can also be used to prevent contamination or infection byother biologics and/or hazardous materials.

Any of the compositions described herein can include a coloring agent.Suitable coloring agents include commercially available food colorings,natural and synthetic dyes, and fluorescent molecules. Preferably, thecoloring agent is nontoxic or is included at such low concentrations asto minimize any toxic effect. The use of a coloring agent allows forimproved visualization of an area that is covered by a structure orscaffold and can facilitate removal, if such removal is desired. Thecoloring agent can be one that changes color when it comes into contactwith a contaminated area (e.g., a color change may be triggered by thecontamination itself (e.g., by the blood or bacteria present at a woundsite)). For example, a metabolic product of a bacterium may trigger acolor change. Conditions such as pH or redox state induced bycontaminants may also be detected. Exemplary indicators includearsenzazo III, chlorophosphonazo III, antipyrylazo III, murexide,Eriochrome Black T and Eriochrome Blue SE for Mg²⁺, oxyacetazo I,carboxyazo III, tropolone, methylthymol blue, and Mordant Black 32.AlamarBlue, a redox indicator, and phenol red are also of use in thecompositions and methods. In another embodiment, the coloring agent maybe in the form of a nanoparticle which reflects one wavelength of lightand upon aggregation (i.e., self-assembly of the peptide) reflects adifferent wavelength of light.

Many other active agents can be included in the compositions. Forexample, a number of growth factors can be included to accelerate one ormore aspects of healing (e.g., angiogenesis, cell migration, processextension, and cell proliferation). These types of compositions can be“included” as others can, by virtue of inclusion in the compositions orby virtue of co-administration in the present methods. Examples includevascular endothelial growth factor (VEGF), a transforming growth factor(TGF) such as transforming growth factor p, a platelet derived growthfactor (PDGF), an epidermal growth factor (EGF), a nerve growth factor(NGF), an insulin-like growth factor (e.g., insulin-like growth factorI), a glial growth factor (GGF), a fibroblast growth factor (FGF), etc.It will be appreciated that in many cases these terms refer to a varietyof different molecular species. For example, several transforming growthfactor R species are known in the art. One of ordinary skill in the artwill be guided in the selection of an appropriate growth factor byconsidering, for example, the site at which the composition is to beadministered. For example, an EGF can be included in compositionsapplied to the skin; an NGF and/or GGF can be included in compositionsapplied to nerves or the nervous system; and so forth.

The growth factor or another agent can be a chemotactic substance, whichhas the ability, in vivo or in cell culture, to recruit cells to a siteat which the substance is present. The cells recruited may have thepotential to contribute to the formation of new tissue or to repairexisting, damaged tissue (e.g., by contributing structurally and/orfunctionally to the tissue (e.g., by providing growth factors orcontributing to a desirable immune response)). Certain chemotacticsubstances can also function as proliferation agents (e.g., neurotropicfactors such as NGF or BDNF).

The compositions can also be used in combination with or instead ofcompounds such as cyanoacrylates, oxidized cellulose, fibrin sealants,collagen gel, thrombin powder, microporous polysaccharide powders,clotting factors (e.g., Factor V, Factor VIII, fibrinogen, orprothrombin) and zeolite powders.

In one embodiment, vitamins may be added to the material such as vitaminK after liver surgery. In addition, other vitamins can be added tofacilitate the reconstruction of tissue or skin when applied topicallyin combination with the material. This could be after injury or in thenormal course of topical hydration.

The one or more therapeutic, diagnostic and/or prophylactic agents canbe administered simultaneously with the self-assembling materials in thesame formulation, administered simultaneously in separate formulations,or sequentially. Alternatively, the active agent(s) can be covalentlycoupled to the self-assembling material.

It will be understood that therapeutic molecules are generallyadministered in an effective amount in order to achieve a clinicallysignificant result, and effective dosages and concentrations are knownin the art. These dosages and concentrations can guide the selection ofdosages and concentrations in the present context. Bioactive moleculescan be provided at a variety of suitable concentrations and in suitableamounts (e.g., in the microgram or milligram range, or greater). Forguidance, one can consult texts such as Goodman and Gilman's ThePharmacological Basis of Therapeutics, 10th Ed., and Katzung, Basic andClinical Pharmacology.

Cells

Where cells are delivered to a patient (e.g., to promote tissuehealing), autologous cells can be used. In one embodiment, the cellscould be hematopoietic cells from the patient, dispersed in the materialand implanted. In another embodiment, the cells can be cord red bloodcells.

The meshes may include one or more additional substances such asbioactive molecules or cells. In some instances, the cell may secretethe bioactive molecule either naturally or following genetic engineering(e.g., to express and/or secrete a recombinant protein). The structuresdescribed herein are able to support cell attachment, viability, andgrowth; these have been observed when cells are cultured on the surfaceof the material or when cells grow within the material (e.g., whenencapsulated). In addition, the structures are able to serve assubstrates for neurite growth and synapse formation when neurons aregrown on or within them. Thus, bioactive molecules and cells can beencapsulated within the peptide structures and maintain substantialfunction and viability when so encapsulated (see, e.g., U.S. Ser. No.09/778,200 and U.S. Ser. No. 10/196,942).

F. Other Constituents

The disclosed meshes can include additional organic and/or inorganicmaterials. In some embodiments the additional materials can providestructural support to the mesh, such as materials that provide ascaffold. Scaffold materials can be selected to provide physicalstrength, elasticity, porosity, solubility, volume and bulk, as requiredby the application. In certain embodiments, the scaffold material hasmechanical and/or biological properties similar to the extracellularmatrix (ECM).

Scaffold materials can include polymers, including natural polymers suchas polypeptides and proteins. The natural polymers create a scaffoldonto which self-assembling peptides, therapeutic agents, cells or otheragents are attached or associated. In some embodiments the disclosedsurgical meshes include proteins, such as ECM proteins. Exemplarynatural scaffold materials for use in the disclosed meshes includealginate; fibrinogen; hyaluronic acid; starch; chitosan; silk; gelatin;dextran; elastin; collagen; and combinations thereof.

In some embodiments meshes include scaffold materials that are syntheticpolymers. Exemplary synthetic polymers include poly(L-lactic acidco-ε-caprolactone) (PLCL); poly(DL-lactic acid) (PDLA);poly(lactic-co-glycolicacid) (PLGA); poly(ethylene oxide) (PEO);poly(vinyl alcohol) (PVA); poly (methyl methacrylate) (PMMA);poly(ethylene-co-vinyl acetate) (PEVA); polystyrene; polyurethane;poly(L-lactic acid) (PLLA); polylactic acid (PLA) and mixtures thereof.

In preferred embodiments the scaffold materials are biocompatible. Inpreferred embodiments the scaffold materials do not induce an immuneresponse.

III. Methods of Making Meshes

The meshes described herein can be prepared using any techniques knownin the art. Meshes are typically loosely woven materials so anytechnique in the art suitable to prepare woven materials can be used.Meshes can also be non-woven. The meshes can be constructed to be avariety of shapes and sizes. Meshes can be from a several micrometers toseveral centimeters in thickness, and can be shaped according to thedesired use.

Non-limiting examples of methods for manufacturing woven and non-wovenmeshes and scaffolds including a variety of natural and non-naturalpolymers are described in U.S. Pat. Nos. 8,568,637; 7,700,721;8,039,258; 7,704,740; 5,762,846; 8,512,728; as well as Dhan, et al.,Nanomedicine: Nanotechnology, Biology, and Medicine, 8, pp. 1242-1262(2012); Nguyen and Lee, Sci. Technol. Adv. Mater., 13, 035002 (11 pp)(2012); Ahmad, et al., Carbohydrate Polymers, V89 (1), pp. 222-229(2012); and Brun, et al., Acta Biomaterialia, 7, pp. 2526-2532 (2011).

A. Formulations of Self-assembling Peptides

Self-assembling peptides for use in making the disclosed meshes can be adry powder formulation that contains at least 75% weight/weight (w/w)self-assembling peptides, at least 80% w/w, at least 85% w/w, at least90% w/w, at least 95% w/w, or more than 95% w/w self-assemblingpeptides.

In other embodiments self-assembling peptides for use in making thedisclosed meshes can be formulated in a solution that contains fromabout 0.25% weight/volume (w/v), to at least 7.5% w/v self-assemblingpeptides, preferably from about 1% w/v, to about 3% w/v self-assemblingpeptides. In some embodiments at least 75%, at least 80%, at least 85%,at least 90%, at least 95%, or more than 95% of the self-assemblingpeptides have the same size and sequence.

The physical properties of the liquids (e.g., viscosity, surface tensionand electrical conductivity) can be measured using any techniques andequipment known to those in the art, (e.g., viscometer; Krusstensiometer; conductivity meter, etc.).

In some embodiments meshes are formed from peptides having the samesequence and length. In other embodiments, a mixture of self-assemblingpeptides having different sizes and sequences can be used. In certainembodiments the size and sequence of the peptides included within themesh fibers can give rise to meshes having different structural andfunctional properties. For example, the strength and elasticity of themeshes can vary according to the length of the peptides used to createthe mesh. In certain embodiments the relative proportions of theself-assembling peptides can be varied as desired by the application.

In certain embodiments the meshes contain peptides having differentnumbers of the same self-assembling units (e.g., RADA (SEQ ID NO 57) andRADARADARADARADA (SEQ ID NO. 1)). In other embodiments the meshescontain peptides having different self-assembling units and differentsizes (e.g., RADA (SEQ ID NO 57) and EAKAEAKAEAKAEAKA (SEQ ID NO. 410)).

In some embodiments a composite of self-assembling peptides havingdifferent sizes and different amino acid sequences can be used toprovide meshes having specific structural and biological properties. Inparticular embodiments the self-assembling peptides include two or morerepeating units of the sequence RADA, two or more repeating units of thesequence EAKA, or mixtures thereof.

Self-assembling peptides having tissue specific sequences can beincluded within meshes intended for use in the corresponding tissuetype. Peptides having the same or a different sequence can be depositedon top of the first mesh layer, to form a three-dimensional mesh thatfills the desired space, such as the volume of a wound or surgical site.In some embodiments meshes can be prepared according to the disclosedtechniques using self-assembling peptides having the same modulus as thetissue type for which the mesh is intended to be applied or used.

Meshes prepared according to the disclosed materials and methods can becross-linked, dried or frozen prior to use. The dried meshes can bestored for extended periods of time.

B. Electrospinning

In one embodiment, the meshes are prepared by electrospinningElectrospinning uses an electrical charge to draw very fine (typicallyon the micro or nano scale) fibres from a liquid.

The disclosed meshes can be produced by electrospinning of stocksolutions containing one or more self-assembling materials. Stocksolutions can contain self-assembling peptides in an aqueous solution, anon-aqueous solution or as a dry powder. Self-assembling peptides can bepresent in the stock solution at any concentration that is high enoughto prevent vaporization.

Formulations of self-assembling peptides for electrospinning intofibrous meshes are disclosed. The formulations can be used as stocksolutions. Stock solutions of self-assembling peptides forelectrospinning can be dry powders or solutions, such as aqueous ornon-aqueous solutions. Stock solutions can contain peptides having asingle sequence, or one or more different sequences. In some embodimentstwo or more different stock solutions can be electrospun onto a supportat the same time using multiple nozzles, or subsequently from the sameor different nozzle.

Electrospinning stock solutions can optionally contain a mixture ofmaterials for electrospinning into the mesh. In some embodimentsself-assembling peptides are mixed with a solution of one or more othermaterials prior to electrospinning. For example, stock solutions cancontain one or more self-assembling peptides and one or more scaffoldmaterials, therapeutic or diagnostic reagents, or combinations thereof.When stock solutions containing more than one material are used, theratio of self-assembling peptides to the other materials can be variedaccording to the needs of the application. For example, theself-assembling peptide may be present in solution at any ratio to theother materials.

In other embodiments the meshes are produced by electrospinning of stocksolutions containing one or more scaffold materials, which are thencovered or coated with self-assembling peptides. In certain embodimentsthe self-assembling peptide is coated onto the surface of an electrospunscaffold material. In some embodiments the self-assembling peptide isapplied to the scaffold as a dry powder.

In some embodiments cells are deposited onto the fibers as they areelectrospun. Cells can be deposited from a separate nozzle, so thatcells are deposited onto fibers before the mesh is formed. In otherembodiments cells are deposited onto the mesh after it has formed.

Electrostatic Spinning

Electrostatic spinning (electrospinning) shares characteristics of bothelectrospraying and conventional solution dry spinning of fibers. Theprocess does not require the use of coagulation chemistry or hightemperatures to produce solid threads from solution. This makes theprocess particularly suited to the production of fibers using large andcomplex molecules, such as self-assembling peptides. Electrospinningfrom molten precursors can also be performed. This method ensures thatno solvent can be carried over into the final product.

When a sufficiently high voltage is applied to a liquid droplet, thebody of the liquid becomes charged, and electrostatic repulsioncounteracts the surface tension and the droplet is stretched; at acritical point a stream of liquid erupts from the surface. This point oferuption is known as the Taylor cone. If the molecular cohesion of theliquid is sufficiently high, stream breakup does not occur (if it does,droplets are electrosprayed) and a charged liquid jet is formed.

As the jet dries in flight, the mode of current flow changes from ohmicto convective as the charge migrates to the surface of the fiber. Thejet is then elongated by a whipping process caused by electrostaticrepulsion initiated at small bends in the fiber, until it is finallydeposited on the grounded collector. The elongation and thinning of thefiber resulting from this bending instability leads to the formation ofuniform fibers with nanometer-scale diameters.

Modification of the spinneret and/or the type of solution can allow forthe creation of fibers with unique structures and properties.Electrospun fibers can adopt a porous or core-shell morphology dependingon the type of materials being spun as well as the evaporation rates andmiscibility for the solvents involved. For techniques which involvemultiple spinning fluids, the general criteria for the creation offibers depends upon the spinnability of the outer solution. This opensup the possibility of creating composite fibers which can function asdrug delivery systems or possess the ability to self-heal upon failure.

In some embodiments the collector moves relative to the spinneret duringspinning Movement of the collector can be controlled to enable theformation of desired structures from the spinning process. In someembodiments the mesh is a loosely woven or non-woven mesh.

The size of an electrospun fiber of self-assembling peptides can be inthe nano scale and the fibers may possess nano-scale surface texture,leading to different modes of interaction with other materials comparedwith macro-scale materials. In addition to this, the ultra-fine fibersof self-assembled peptides produced by electrospinning have a very highsurface to volume ratio, and a relatively defect-free structure at themolecular level.

A high surface to volume ratio makes electrospun self-assembling peptidemeshes suitable for activities requiring a high degree of physicalcontact, such as providing sites for chemical reactions, or the captureof small sized particulate material by physical entanglement-filtration.The second property should allow electrospun fibers to approach thetheoretical maximum strength of the spun material, opening up thepossibility of making high mechanical performance composite materials.

Coaxial Electrospinning

A coaxial setup uses a multiple solution feed system which allows forthe injection of one solution into another at the tip of the spinneret.The sheath fluid is believed to act as a carrier which draws in theinner fluid at the Taylor Cone of the electrospinning jet. If thesolutions are immiscible then a core shell structure is usuallyobserved. Miscible solutions however can result in porosity or a fiberwith distinct phases due to phase separation during solidification ofthe fiber.

Emulsion Electrospinning

Emulsions can be used to create core shell or composite fibers withoutmodification of the spinneret. However, these fibers are usually moredifficult to produce as compared to coaxial spinning due to the greaternumber of variables which must be accounted for in creating theemulsion. A water phase and an immiscible solvent phase are mixed in thepresence of an emulsifying agent to form the emulsion. Any agent whichstabilizes the interface between the immiscible phases can be used.Surfactants such as sodium dodecyl sulfate, Triton and nanoparticleshave been used successfully. During the electrospinning process theemulsion droplets within the fluid are stretched and gradually confinedleading to their coalescence. If the volume fraction of inner fluid issufficiently high, a continuous inner core can be formed.

Electrospinning of blends is a variation of this technique which usesthe fact that polymers are generally immiscible with each and can phasesegregate without the use of surfactants. This method can be simplifiedfurther if a solvent which dissolves both polymers is used

Melt Electrospinning

Electrospinning of polymer melts eliminates the need for volatilesolvents in solution electrospinning. The setup is very similar to thatemployed in conventional electrospinning and includes the use of asyringe or spinneret, a high voltage supply and the collector. Thepolymer melt is usually produced by heating from either resistanceheating, circulating fluids, air heating or lasers. Due to the highviscosity of polymer melts, the fiber diameters are usually much largerthan those obtained from solution electrospinning. The fiber uniformityupon achieving stable flow rates and thermal equilibrium, tends to bevery good. The whipping instability which is the predominant stage inwhich the fiber is stretched for spinning from solutions is absent fromthe melt spinning process due to the low melt conductivity. Fromliterature, the biggest factors which affect the fiber size tend to bethe feed rate and the molecular weight of the polymer. Fiber sizesranging from ˜250 nm to several hundreds of micrometers have beencreated thus far with the lower sizes being achieved using low molecularweight polymers.

Direct Placement Electrospinning

In some embodiments electrospinning of meshes can occur immediatelyprior to, or at the time of application in vitro or in vivo. In certainembodiments the electrospun fibers are deposited into or onto the bodyof a subject directly from the dispensing spinneret. In a particularembodiment the dispensing may deposit a mesh directly into or ontodiseased or damaged tissue, such as wounds or surgical sites.

In some embodiments the electrospinning apparatus is adapted tofacilitate the direct placement of the electrospun fibers. In certainembodiments the electrospinning apparatus is a portable or hand-heldapparatus. The use of a portable or hand-held apparatus can assist inthe direct placement of the fibers to desired locations in vivo and invitro.

In further embodiments, modification of the spinneret and/or the type ofsolution can allow for the direct placement of self-assembling fibersrelative to one another. The parameters that control direct placementcan include charge, hydrophobicity and pH. Direct placement ofself-assembling peptides can enable the formation of meshes with desiredstructural and functional characteristics, such as different strengthand modulus at distinct regions of the mesh.

Direct placement of electrospun fibers can enable the specificdeposition of certain fibers to certain tissue types and/or certainlocations within a tissue. In one embodiment a multi-layered structureis produced by the sequential deposition of different types of fiberonto or into the target location. In some embodiments the fibers withindifferent layers include self-assembling peptides having distinctsequences, sizes and structures.

C. Other Methods of Making Meshes

Meshes of self-assembling peptides can be produced using one or moretechniques known to those skilled in the art, including but not limitedto microfluidic techniques; spinning techniques including dispersionspinning, wet spinning, tack spinning, force spinning using centrifugalforce and gel spinning; templating onto a surface; injection molding ofa formulation of self-assembling peptides; stamping of a dry powderformulation or a frozen formulation of self-assembling peptides; directapplication of a slurry formulation containing self-assembling peptidesonto a stencil, or patterned surface, such as a bandage or adhesivebandage; or assembly of a composite structure formed by a combination ofthese methods.

In some embodiments would a pre-formed polymer mesh is soaking in asolution of self-assembling polypeptides and then freeze dried to coatthe polymer with the polypeptide.

In some embodiments peptides for use in the described methods areassembled prior to formation of the mesh. In other embodimentsself-assembly occurs upon formation or after formation of the mesh.Variation of physical parameters, such as temperature and ionic strengthof the solvent can be applied to induce assembly of peptides at desiredtimes during the formation of the mesh structure.

D. Protective or Support Materials

The disclosed meshes can include one or more biological ornon-biological materials that provide support and/or protection to thefibrous structure. In some embodiments the mesh includes a protective orsupport layer, such as an adhesive strip, a film, a micro-poroussubstrate or network, a sponge, etc. The protective or support layer canbe in the form of a backing layer, such as an adhesive bandage ormetallic film.

Exemplary protective or support materials include but are not limited topolyurethane, tin foil, poly(L-lactic acid co-ε-caprolactone)(PLCL);poly(DL-lactic acid) (PDLA); poly(lactic-co-glycolic acid)(PLGA);poly(ethylene oxide)(PEO); poly(vinyl alcohol)(PVA); poly (methylmethacrylate)(PMMA); poly(ethylene-co-vinyl acetate)(PEVA); PPO blockcopolymer polystyrene; polyurethane; poly(L-lactic acid)(PLLA);polylactic acid (PLA) and mixtures thereof. The support material can befully or partly biodegradable, or non-biodegradable.

In certain embodiments the mesh of self-assembling peptides is producedand deposited directly onto the protective or support layer.

IV. Methods of Using Meshes

The disclosed surgical meshes can be used as either a permanent ortemporary support for organs and other tissues during surgery and/or tostrength tissue. The meshes are available in both inorganic andbiological materials, and are used in a variety of surgeries. Thoughhernia repair surgery is the most common application, they can also beused for reconstructive work; such as in pelvic organ (e.g., bladder,uterus, bowel or rectum) prolapse and chest wall reconstruction. Meshescan also be used to treat surgical or traumatic wounds. Permanent meshesremain in the body, whereas temporary ones dissolve over time; as anexample, some meshes combine permanent and temporary meshes such asVipro; a brand name for a product combining the re-absorbable materialvipryl, made from polyglycolic acid, and prolene, a non-reabsorbablepolypropylene. Prior to use, the meshes can be a woven or non-wovenfibrous sheet, with high surface area to volume ratio.

The meshes described here can also be used to control the movement ofbodily fluids, e.g., to prevent the movement of fluids, such as blood.In one embodiment, the mesh is a hemostatic mesh. In certainembodiments, the mesh is biodegradable. Meshes can biodegrade at a timefollowing application that is consistent with the time required forhealing and tissue regeneration. Meshes can biodegrade at a time that isone day, one week, one month or more than one month followingapplication. In some embodiments the disclosed meshes degrade over aperiod of several weeks, for example 1, 2, 3, 5, 6, 7, 8 or more than 8weeks following application. Meshes can degrade completely, or can bepartly biodegradable, or completely non-biodegradable.

The peptides can be assembled at any time before application of the meshor during application of the mesh. For example, the mesh can bemanufactured and the finished mesh exposed to an ionic solution toinduce gel formation. The gelled mesh can be stored until use. Thegelled mesh can be dehydrated prior to storage. The mesh can be gelledin mold to form a particular shape. In other embodiments, the mesh isprepared and stored in unassembled form. The mesh can be dried prior tostorage. Immediately prior to use, the mesh is exposed to an ionicsolution to initiate assembly. Again, the mesh can be gelled in a moldto form a particular shape. In still other embodiments, the mesh isapplied or implanted in an unassembled form and the peptides assembleupon contact with a bodily fluid. This can be useful if one wants themesh to gel in the shape of the site of application, such as a void,vessel, lumen, etc.

The mesh can have associated with it one or more therapeutic,prophylactic, and/or diagnostic agents, as discussed above. The agentcan be impregnated into the mesh and/or coated on the mesh. In otherembodiments, the agent is covalently coupled to one or more of thematerials that compose the mesh. In some embodiment, the mesh hasassociated therewith one or more hemostatic agents, growth factors,desiccants, vitamins, antimicrobial agents, analgesics,anti-inflammatory agents, or combinations thereof.

In other embodiments, the mesh contains a pH-adjusting agent which isreleased at the site of administration to alter the pH at the site ofadministration. For example, wounds to the skin typically heal moreeffectively at lower pH. Therefore, one or more agents which lower thepH at the site of application may shorten healing times and improve theefficacy of the mesh. In contrast, wounds (e.g., surgical, trauma, orotherwise (ulcers)) to the GI tract may benefit from a higher pH at thesite of treatment to offset the more acidic environment of the GI tract.The pH at the site of application can be increased by incorporate abasic agent into the mesh.

The mesh can further contain backing or support layer that providessupport and/or protection to the mesh. The backing layer may bebiodegradable or non-biodegradable. The backing layer can be composed ofany material which is biocompatible for those embodiments, wherein thebacking layer is also applied/implanted. In other embodiments, thebacking layer can be removed prior to application of the mesh. Thebacking layer can be adhesive or non-adhesive. For those embodimentswhere the backing layer is applied/implanted, the backing layer can haveassociated with it one or more therapeutic, prophylactic, and/ordiagnostic agents as discussed above.

The meshes described herein can be used to treat a variety of disordersas discussed above. In some embodiments, the meshes described herein areused to treat patients with primary or secondary or acquiredbleeding/coagulation/clotting disorders.

Exemplary coagulation disorders include vitamin K deficiency; VonWillebrand disease; hemophilia; congenital afibrinogenemia; Glanzmann'sthrombasthenia; Bernard-Soulier syndrome; and thrombocytopenia.Exemplary patients having reduced coagulation include subjects havingdeficiency in one or more components of the coagulation cascade system(Factor V; Factor X; Factor XII; etc.), as well as patients receivinganti-coagulant therapy (e.g., aspirin; ardeparin; urokinase; warfarin;heparin; thrombin inhibitors; etc.) or other drugs that result inincreased bleeding or decreased coagulation as compared to a normalcontrol. The meshes can be packaged with one or more devices tofacilitate application of the meshes to locations which are hard toreach (GI tract, lung, heart, etc.) or have complicated shapes/geometry(e.g., nose for epitaxis). Exemplary devices include cones and otherdevices that allow one to implant the mesh in a hard to reach location.Other devices include laproscopes, endoscopes, etc.

EXAMPLES Example 1 Self-assembling Peptides Give Rise to Hemostasis

Materials and Methods

A self-assembling peptide having the sequence RADARADARADARADA (RADA4;SEQ. ID. NO: 1) acetate salt was reconstituted in sterile water to 3%.The material was stored at ambient temperature in a cooler with coldpack over it until brought to the study facility. Lyo cakes of 3 vialswere crushed using a spatula and then combined in 1 vial. The combinedcontent was reconstituted with 1 mL volume of sterile water forinjection. The lyophilized formulation went in solution easily in 1-2minutes and was vortexed for 30 seconds before use.

Four female Sprague Dawley rats each weighing 300-320 g wereanesthetized with a mixture of xylaxine/ketamine. When a suitable planeof anesthesia was reached, a ventral midline incision was made in theabdomen allowing for visualization and manipulation of the liver's rightlobe. Further manipulation to expose the portal vein was performed toallow for withdrawal of 1 mL of blood for measurement of blood activatedclotting time (ACT).

A wooden spatula was then placed behind the right lobe of the liver anda 4 mm diameter biopsy punch was used to remove a full thickness 4 mmdiameter section of the liver resulting in a lesion with brisk bleeding.

Immediately, 0.5 mL of a 3% aqueous solution of pre-formulated RADA4peptide reconstituted in sterile water was applied to the biopsy siteusing a 22½ gauge needle.

Results

Bleeding was seen to slow upon application of the RADA4 peptide solutionand stopped completely within 30 seconds. Later assessments at 10minutes following RADA4 application showed that hemostasis was stablewithout further bleeding.

Example 2 Self-assembling Peptides Give Rise to Hemostasis in thePresence of Anti-coagulant

Materials and Methods

To determine whether hemostasis could be achieved in the presence ofanticoagulant, heparin was then administered to the animal at a dose of500 IU per kg body weight injected directly into the portal vein. Twominutes after heparin injection, a second 4 mm diameter biopsy punchlesion was made adjacent to the first lesion in the right lobe of theliver and 0.5 ml of a 3% aqueous RADA4 peptide solution was again addedto the lesion.

Results

Bleeding was seen to slow and stop within 30 seconds of addition of thepeptide, and this was stable at 10 minutes, as before. Baseline ACTmeasurements in these animals was approximately 110 seconds. Anadditional ACT measurement made 8 minutes following heparin injection(500 IU/kg) was greater than 1,300 seconds indicating significantheparin-induced anticoagulation in these animals.

The use of RADA4 peptide formulated as a 3% aqueous RADA4 peptidesolution was successful in producing hemostasis in the rat liver biopsypunch model in both the absence and presence of clinically significantanticoagulation.

Unless defined otherwise, all technical and scientific terms used hereinhave the same meanings as commonly understood by one of skill in the artto which the disclosed invention belongs. Publications cited herein andthe materials for which they are cited are specifically incorporated byreference.

Those skilled in the art will recognize, or be able to ascertain usingno more than routine experimentation, many equivalents to the specificembodiments of the invention described herein. Such equivalents areintended to be encompassed by the following claims.

We claim:
 1. A surgical mesh comprising self-assembling peptides,wherein the mesh comprises dehydrated or dried woven or non-woven fibersof the self-assembling peptides.
 2. The surgical mesh of claim 1,wherein the self-assembling peptides have a sequence of amino acidresidues conforming to one or more of Formulas I-IV:((Xaa^(neu)-Xaa⁺)_(x)(Xaa^(neu)-Xaa⁻)_(y))_(n)  (I);((Xaa^(neu)-Xaa⁻)_(x)(Xaa^(neu)-Xaa⁺)_(y))_(n)  (II);((Xaa⁺-Xaa^(neu))_(x)(Xaa⁻-Xaa^(neu))_(y))_(n)  (III);((Xaa⁻-Xaa^(neu))_(x)(Xaa⁺-Xaa^(neu))_(y))_(n)  (IV); wherein Xaa^(neu)represents an amino acid residue having a neutral charge underphysiological conditions; Xaa⁺ represents an amino acid residue having apositive charge under physiological conditions; Xaa⁻ represents an aminoacid residue having a negative charge under physiological conditions; xand y are integers having a value of 1, 2, 3, or 4, independently; and nis an integer having a value of 1-5.
 3. The surgical mesh of claim 1,wherein all of the self-assembling peptides have the same amino acidsequence.
 4. The mesh of claim 1, further comprising one or more nonself-assembling materials.
 5. The mesh of claim 4, wherein the mesh ispartially or completely biodegradable.
 6. The mesh of claim 4, whereinthe mesh further comprises a backing material.
 7. The mesh of claim 4,wherein the mesh further comprises one or more therapeutic,prophylactic, and/or diagnostic agents.
 8. The mesh of claim 7, whereinthe mesh comprises a hemostatic agent.
 9. The mesh of claim 4 whereinthe mesh comprises a desiccant.
 10. The mesh of claim 4, furthercomprising a pH-adjusting agent.
 11. The mesh of claim 1, wherein themesh is prepared by a method selected from the group consisting ofmicrofluidics; injection molding; stamping; templating onto a surfacehaving a desired shape; electrospinning; freezing of a powder; freezingof a solution; coating of a solid substrate, and a combination thereof.12. The mesh of claim 1, wherein the mesh is prepared by electrospinninga stock solution of the self-assembling peptides.
 13. A method forcontrolling the movement of bodily fluids in a patient, the methodcomprising applying to or implanting in a patient the mesh of claim 1,wherein the self-assembling peptides assemble to form a barrierstructure that inhibits or prevents the movement of bodily fluidsthrough the mesh.
 14. The method of claim 13, wherein the bodily fluidis blood.
 15. The method of claim 13, wherein the patient suffers from aprimary, secondary, or acquired bleeding/coagulation/clotting disorder.16. The method of claim 13, wherein the self-assembling peptides areassembled immediately prior to, during or after application of the mesh.17. The mesh of claim 12, wherein the stock solution contains aconcentration of ions less than 5 mM.
 18. The method of claim 13,wherein the mesh is hydrated prior to application.